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计算机断层扫描检查自动牵引对腰椎间盘突出症的影响。

Computed tomography examination of the influence of autotraction on herniation of the lumbar disc.

作者信息

Gillström P, Ericson K, Hindmarsh T

出版信息

Arch Orthop Trauma Surg (1978). 1985;104(5):289-93. doi: 10.1007/BF00435944.

DOI:10.1007/BF00435944
PMID:4091634
Abstract

The effect of autotraction on the configuration of herniated discs was studied by computed tomography. Twenty-five patients with lumbago and sciatic pain were studied by means of GE CT/T8800 scan of the lumbar spine (two lower levels), before and after autotraction. Four patients had CT scans of the L4-L5 and L5-S1 levels during the actual autotraction. For this part of the study a special table was designed to be fitted into the CT scanner. In this way it was possible to study the configuration of the herniated disc during the time the traction force was applied. The results were uniform. In none of the patients could we register any difference in the disc, which retained its herniation. Despite this, good clinical results were obtained after autotraction. Consequently, the effect of autotraction is not connected with any marked change in the configuration of the herniated disc.

摘要

通过计算机断层扫描研究了自动牵引对椎间盘形态的影响。对25例腰痛伴坐骨神经痛患者在自动牵引前后进行了GE CT/T8800腰椎(下两个节段)扫描。4例患者在实际自动牵引过程中对L4-L5和L5-S1节段进行了CT扫描。对于该研究的这一部分,设计了一张特殊的检查台以适配CT扫描仪。通过这种方式,可以在施加牵引力时研究突出椎间盘的形态。结果是一致的。在所有患者中,我们均未发现椎间盘有任何差异,其突出状态保持不变。尽管如此,自动牵引后仍取得了良好的临床效果。因此,自动牵引的效果与突出椎间盘的形态没有任何明显变化有关。

相似文献

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Arch Orthop Trauma Surg (1978). 1985;104(5):289-93. doi: 10.1007/BF00435944.
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本文引用的文献

1
A STUDY OF THE RESULTS FOLLOWING ROTATORY MANIPULATION IN THE LUMBAR INTERVERTEBRAL-DISC SYNDROME.腰椎间盘综合征旋转手法治疗效果的研究
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Intervertebral disc pressures during traction.
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Auto-traction for treatment of lumbago-sciatica. A multicentre controlled investigation.
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A comparison of CT scanning and myelography in the diagnosis of lumbar disc herniation.
CT扫描与脊髓造影在腰椎间盘突出症诊断中的比较。
Clin Orthop Relat Res. 1984 Nov(190):124-8.
5
Autotraction in lumbar disc herniation. A myelographic study before and after treatment.腰椎间盘突出症的自动牵引。治疗前后的脊髓造影研究。
Arch Orthop Trauma Surg (1978). 1985;104(4):207-10. doi: 10.1007/BF00450211.