腰椎间盘突出症患者脊柱推拿后症状恶化的临床特点分析

发布时间：2018-09-18 14:04

【摘要】：目地:探讨脊柱推拿治疗导致腰椎间盘突出症症状恶化的临床特点。方法 :自2012年1月至2013年12月,收治了10例因行脊柱推拿治疗导致腰椎间盘突出症状加重的患者,男5例,女5例;年龄46~68岁,其中7例年龄50岁。对10例患者的临床资料进行分析,包括年龄、性别、临床症状、体征、影像学表现、手术治疗情况和预后。结果:10例患者在行脊柱推拿治疗前症状持续时间为4~15年,行脊柱推拿治疗后24 h内出现腰腿痛症状的加重,MRI示明显的椎间盘突出,其中L4-L5节段7例。从症状加重到手术治疗的平均时间为23.1 d,无围手术期并发症发生,在术后数天内神经根痛明显缓解。随访期间,10例患者均恢复了行走能力,8例症状完全缓解,2例症状得到显著改善。结论:提出了脊柱推拿治疗腰椎间盘突出的5种危险因素,为按摩师在行脊柱推拿治疗前提供参考,并且这类患者手术治疗效果良好。
[Abstract]:Objective: to explore the clinical features of lumbar disc herniation caused by spinal massage. Methods: from January 2012 to December 2013, 10 patients (5 males and 5 females) with lumbar disc herniation caused by spinal massage were treated. The clinical data of 10 patients were analyzed, including age, sex, clinical symptoms, signs, imaging findings, surgical treatment and prognosis. Results the duration of symptoms of 10 cases was 4 ~ 15 years before spinal massage treatment. The aggravation of lumbago and leg pain in 24 hours after spinal massage treatment showed obvious disc herniation in 7 cases of L4-L5 segment. The average time from symptom aggravation to surgical treatment was 23.1 days, no perioperative complications occurred, and the neuralgia was alleviated significantly within a few days after operation. During the follow-up period, all the 10 patients recovered their walking ability, 8 patients had complete remission and 2 patients had significantly improved their symptoms. Conclusion: five risk factors for the treatment of lumbar disc herniation with spinal massage are put forward, which provide a reference for masseurs before the treatment of spinal massage, and the effect of surgical treatment on these patients is good.
【作者单位】：西安交通大学第二附属医院骨科;
【分类号】：R244.1

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