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针灸治疗伴脊柱侧弯的腰椎间盘突出症：病例报告。

Acupuncture treatment for lumbar disc herniation with scoliosis: A case report.

机构信息

The Third College of Clinical Medicine, Zhengjiang Chinese Medical University, Hangzhou, China.

Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

Medicine (Baltimore). 2023 Dec 29;102(52):e36684. doi: 10.1097/MD.0000000000036684.

DOI:10.1097/MD.0000000000036684
PMID:38206743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10754577/
Abstract

INTRODUCTION: Lumbar disc herniation (LDH) with scoliosis usually refers to lumbar disc herniation caused by scoliosis, which is a postural compensatory deformity to reduce low back and leg pain, mostly with nonstructural changes. Scoliosis may disappear after the treatment of LDH. PATIENT CONCERNS: At present, this kind of scoliosis is mainly treated with medicine and surgery, but all these methods may have some adverse effects. DIAGNOSIS: A 24-year-old female patient was admitted to the acupuncture department of our hospital due to unbearable pain caused by LDH. INTERVENTIONS: According to the patient condition, the acupuncture treatment plan was adopted by Professor Wang Zhanglian, a famous Chinese medicine practitioner. OUTCOMES: After 12 weeks of acupuncture treatment, the patient low back pain was significantly relieved. CONCLUSION: This case suggests that acupuncture may be an effective alternative treatment for LDH.

摘要

介绍：腰椎间盘突出症伴脊柱侧凸通常是指由脊柱侧凸引起的腰椎间盘突出症，它是一种姿势代偿性畸形，以减轻腰背和下肢疼痛，多伴有非结构性改变。脊柱侧凸在腰椎间盘突出症治疗后可能会消失。

患者关注：目前，这种脊柱侧凸主要通过药物和手术治疗，但所有这些方法都可能有一些不良反应。

诊断：一名 24 岁女性患者因腰椎间盘突出症引起的难以忍受的疼痛而被收入我院针灸科。

干预措施：根据患者病情，采用名老中医王章连教授的针灸治疗方案。

结果：经过 12 周的针灸治疗，患者腰背疼痛明显缓解。

结论：本病例提示针灸可能是治疗腰椎间盘突出症的一种有效替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/528c292821e4/medi-102-e36684-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/524f4f1e953d/medi-102-e36684-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/78d20eddb627/medi-102-e36684-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/72487ecab7fb/medi-102-e36684-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/528c292821e4/medi-102-e36684-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/524f4f1e953d/medi-102-e36684-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/78d20eddb627/medi-102-e36684-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/72487ecab7fb/medi-102-e36684-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5342/10754577/528c292821e4/medi-102-e36684-g004.jpg

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Acupuncture treatment for lumbar disc herniation with scoliosis: A case report.

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[3]
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[5]
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[6]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Spinal Biomechanical Modelling in the Process of Lumbar Intervertebral Disc Herniation in Middle-Aged and Elderly.

J Healthc Eng. 2021

[2]
A narrative review of non-operative treatment, especially traditional Chinese medicine therapy, for lumbar intervertebral disc herniation.

Biosci Trends. 2017

[3]
Adult Degenerative Lumbar Scoliosis.

Orthopedics. 2017-11-1

[4]
[Lumbar disc herniation: Natural history, role of physical examination, timing of surgery, treatment options and conflicts of interests].

Neurocirugia (Astur). 2017

[5]
Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.

Eur J Pain. 2017-2

[6]
Long-Term Course of Alternative and Integrative Therapy for Lumbar Disc Herniation and Risk Factors for Surgery: A Prospective Observational 5-Year Follow-Up Study.

Spine (Phila Pa 1976). 2016-8-15

[7]
Reliability and reproducibility analysis of the Cobb angle and assessing sagittal plane by computer-assisted and manual measurement tools.

BMC Musculoskelet Disord. 2014-2-6

[8]
Risk of progression in de novo low-magnitude degenerative lumbar curves: natural history and literature review.

Am J Orthop (Belle Mead NJ). 2009-8

[9]
Functional outcome of surgical treatment for multilevel lumbar spinal stenosis.

Acta Orthop. 2006-8

[10]
Results of operative treatment of lumbar disc herniation. A survey of 886 patients.

Acta Orthop Scand. 1977

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