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牵引对腰椎间盘突出症影响的计算机断层扫描研究

Computed tomographic investigation of the effect of traction on lumbar disc herniations.

作者信息

Onel D, Tuzlaci M, Sari H, Demir K

机构信息

Department of Physical Medicine, Cerrahpasa Medical Faculty, Istanbul University, Turkey.

出版信息

Spine (Phila Pa 1976). 1989 Jan;14(1):82-90. doi: 10.1097/00007632-198901000-00017.

Abstract

The aim of this study was to evaluate the effect of static horizontal traction on disc herniations by computed tomographic investigation. Changes occurring under the effect of a traction load of 45 kg have been evaluated in 30 patients with lumbar disc herniation. The herniated nuclear material (HNM) has retracted in 11 (78.5%) of median, six (66.6%) of posterolateral, and four (57.1%) of lateral herniations. Clinical response of these cases to conservative treatment varied with the amount and location of HNM, the retraction of HNM, and calcification of protruded disc. Static lumbar traction showed variable effects on lumbar disc herniations, especially in relation with the amount and location of HNM.

摘要

本研究旨在通过计算机断层扫描研究评估静态水平牵引对椎间盘突出症的影响。对30例腰椎间盘突出症患者在45 kg牵引负荷作用下发生的变化进行了评估。在中央型突出的11例(78.5%)、后外侧型突出的6例(66.6%)和外侧型突出的4例(57.1%)中,突出的核物质(HNM)出现了回缩。这些病例对保守治疗的临床反应因HNM的数量和位置、HNM的回缩以及突出椎间盘的钙化情况而异。静态腰椎牵引对腰椎间盘突出症显示出不同的效果,尤其是与HNM的数量和位置有关。

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