CAJ | 학술논문

报告了36例腰椎间盘突出症的患者采用成角旋转腰椎牵引疗法，部分患者同时配合使用硬膜外封闭治疗的结果，旨在探讨保守治疗的效果与CT扫描结果之间的关系。观察结果初步表明，保守治疗的效果与间盘突出的大小有关：5～6mm以上的突出，保守治疗的效果不佳；疗效与间盘突出的部位有关：位于侧隐窝，特别是位于狭小的神经根管的突出，疗效往往不佳；疗效与病程有关：发病时间越长，特别是伴有突出组织的钙化，往往影响治疗的效果。提示：临床在选择保守或手术治疗的方式时，应充分考虑上述因素。
보고료36례요추간반돌출증적환자채용성각선전요추견인요법，부분환자동시배합사용경막외봉폐치료적결과，지재탐토보수치료적효과여CT소묘결과지간적관계。관찰결과초보표명，보수치료적효과여간반돌출적대소유관：5～6mm이상적돌출，보수치료적효과불가；료효여간반돌출적부위유관：위우측은와，특별시위우협소적신경근관적돌출，료효왕왕불가；료효여병정유관：발병시간월장，특별시반유돌출조직적개화，왕왕영향치료적효과。제시：림상재선택보수혹수술치료적방식시，응충분고필상술인소。
In this paper,we reported the results of 36 cases with lumbar disc prolapse through conservative treatment in order to observe the relationship between the effect of conservative treatment and the results of CT scan.We found that the effectiveness of treatment was related to the size and location of the disc protrusion as well as the course of disease.The results suggested that these factors should be considered fully during selecting the methods of conservative treatment or operation in lumbar disc prolapse.