韦英成　吴肖梅　梁晓行　阎　杰　姜炳毅　姜进文　杨　铿　吴　曦　杨　先（广西壮族自治区贵港市中医医院，广西 贵港 537100）



提拉旋转斜扳法结合侧隐窝注射治疗腰椎间盘突出症临床观察*

韦英成吴肖梅梁晓行阎杰姜炳毅姜进文杨铿吴曦杨先
（广西壮族自治区贵港市中医医院，广西 贵港 537100）

目的 观察提拉旋转斜扳法结合侧隐窝注射治疗腰椎间盘突出症的临床疗效。方法 将符合要求的120例患者按随机数字表法分为实验组、对照1组和对照2组，每组40例。实验组采用提拉旋转斜扳法结合侧隐窝注射治疗，对照1组采用提拉旋转斜扳法治疗，对照2组采用侧隐窝注射治疗。治疗前后采用视觉模拟量表（VAS）评分及疗效指数进行评定。结果 3组患者治疗后VAS评分均有所改善（P＜0.05），实验组VAS评分改善程度均优于对照1组和对照2组（P＜0.05）；实验组临床总有效率亦高于对照1组和对照2组（P＜0.05）。结论 提拉旋转斜扳法结合侧隐窝注射治疗腰椎间盘突出症更先进有效，更容易消除神经根的炎症和水肿、重建腰椎动静力平衡、恢复腰椎内外源性稳定、缩短治疗时间、减少治疗费用及降低复发率。

腰椎间盘突出症侧隐窝注射提拉旋转斜扳法临床观察

【Abstract】Objective：To observe the clinical effects of pulling and rotating oblique pulling manipulation with lateral recess injection on Lumbar disc herniation.Methods：120 cases meeting the requirements were randomly divided into the experimental group，the control group 1 and 2，40 cases in each.The experimental group took pulling and rotating oblique pulling manipulation combined with lateral recess injection，control group 1 pulling and rotating oblique pulling manipulation treatment，the control group 2 lateral recess injection.Visual analogue scale（VAS）scores and efficacy index were evaluated before and after treatment.Results：VAS scores were improved in three groups after treatment（P＜0.05），and the improvement of VAS score in the experimental group was better than that of the control group 1 and 2（P＜0.05）；the clinical curative effect of the experimental group was also better than the control group 1 and 2（P＜0.05）.Conclusion：Pulling and rotating oblique pulling manipulation with lateral recess injection on Lumbar disc herniation is more advanced and effective，easier to remove nerve root inflammation and edema and can reconstruct lumbar spinal dynamic static balance and restore lumbar internal and external source of stability，shorten treatment time and reduce the cost of treatment and the recurrence rate，worthy of popularization and application.

【Key words】Lumbar disc herniation；Lateral recess injection；Pulling and rotating oblique pulling manipulation；Clinical observation

腰椎间盘突出症（LDH）是指因腰椎间盘变性，纤维环破裂，腰椎间盘髓核突出刺激或压迫神经根、马尾神经所表现的一种综合征。LDH是骨科患病率较高的疾病之一，是导致腰腿痛的主要原因，约20%的腰腿痛患者与之相关［1］。本病大约80%～90%的患者通过保守治疗得以痊愈［2］，因此人们越来越重视作为LDH廉价有效的非手术疗法。……