CAJ | 학술논문

　　目的分析探讨腰腿痛患者手法治疗后转手术治疗的原因。方法对2010年6月－2011年11月在空军总医院中西医结合正骨科采取手法治疗的203例腰腿痛患者中转手术治疗的14例临床资料进行回顾分析。结果手法治疗后转手术治疗的原因有侧隐窝狭窄（71.4%），马尾神经损伤（14.3%），退行性腰椎管狭窄（7.1%）和神经根麻痹（7.1%）。14例术后下肢痛均消失，2例大小便功能恢复正常，3例残留下肢发麻。结论明确手法治疗无效的原因对于恰当把握腰腿痛手法治疗的适应证和治疗时机很有意义。
　　목적분석탐토요퇴통환자수법치료후전수술치료적원인。방법대2010년6월－2011년11월재공군총의원중서의결합정골과채취수법치료적203례요퇴통환자중전수술치료적14례림상자료진행회고분석。결과수법치료후전수술치료적원인유측은와협착（71.4%），마미신경손상（14.3%），퇴행성요추관협착（7.1%）화신경근마비（7.1%）。14례술후하지통균소실，2례대소편공능회복정상，3례잔류하지발마。결론명학수법치료무효적원인대우흡당파악요퇴통수법치료적괄응증화치료시궤흔유의의。
Objective We aimed to discuss the cause that patients with low back pain had to receive operation after manipulation. Methods Clinical data of 14 patients who received operation after manipulation was analyzed retrospectively and the patients were chosen from 203 low back pain patients with manipulation during June 2010 to November 2011. Results The cause of patients seeking operation after manipulation included lateral recess stenosis(71.4%), cauda equine injury (14.3%), degenerative lumbar spinal stenosis (7.1%)and nerve root paralysis(7.1%). All patients after surgery had no leg pain, two patients restored to normal urination and defecation, and three patients were left leg numbness. Conclusion Understanding the cause of manipulation failure was helpful to grasp the indication and opportunity of manipulation for low back pain patients.