摘要
目的观察腰椎间盘突出症患者突出髓核内压力与神经根受压程度的关系。探讨突出髓核组织的临床意义及手法治疗的机理。方法选取空军总医院收治的腰椎间盘突出症手术患者30例,根据直腿抬高试验分为直腿抬高(+)性组、(-)性组,术中测量患者突出髓核内压力大小、观察突出髓核内压力与直腿抬高高度的关系。结果直腿抬高(+)性组患者突出髓核内压力明显高于(—)性组患者,具有显著意义(P<0.01)。两组患者突出髓核大小无明显差异(P>0.05)。结论1、突出髓核对神经根的压迫与突出髓核内压力有关,突出髓核内压力较大时患者直腿抬高受限,突出髓核内压力较小时直腿抬高不受限。突出髓核对神经根的压迫与突出髓核大小尚未见明显关系。2、椎管对突出髓核组织的容纳的极限与突出髓核内的压力相关,推测手法治疗可以通过降低突出髓核内压力减轻甚至解除神经根受压,达到治疗目的。
Objective To observe the relation between the pressure of protruded nucleus pulposus and the degree of the nerve root compression of patients with lumbar disc herniation. In oder to study the clinical significance and the mechanism of manipulative treatment of the protruded nucleus pulposus. Methods hirty cases of lumbar disc herniation undergone operation in The general hospital of air force were selected. According to the recto-leg elevation testing the patients were divided into recto-leg elevation testing(+) group and (-) group. In the operation measure the pressure of protruded nucleus pulposus and observe the relation with the height in recto-leg elevation testing. Results (1)There was significant difference in the pressure of protruded nucleus pulposus between recto-leg elevation testing(+) group and (-) group(P<0.01),and there were no significant difference between two groups in the nucleus pulposus sizes(P>0.05). Conclusion 1?There was obvious relations between the pressure of protruded nucleus pulposus and the degree of the nerve root compression. The stronger the pressure existed, the more limited the height in recto-leg elevation testing. There was no obvious relations between the sizes of protruded nucleus pulposus and the degree of the nerve root compression. 2?We supposed that the successful manipulative treatment may not necsecerily only depend on changing the space occupation of protruded nucleus pulposus, but by reducing its pressures inside manipulative treatment may relieve even eradicate the nerve root 1comp ression and achieve the therapeutic goal.
出处
《颈腰痛杂志》
2004年第5期306-308,共3页
The Journal of Cervicodynia and Lumbodynia
