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[1]顏 峰.椎間融合術(shù)配合中藥外敷治療退行性腰椎滑脫癥[J].中醫(yī)正骨,2016,28(01):38-40.
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椎間融合術(shù)配合中藥外敷治療退行性腰椎滑脫癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年01期
頁碼:
38-40
欄目:
臨床報道
出版日期:
2016-01-20

文章信息/Info

作者:
顏 峰
浙江省臺州市中醫(yī)院,浙江 臺州 318000
關(guān)鍵詞:
腰椎 脊椎滑脫 脊柱融合術(shù) 中藥療法
摘要:
目的:觀察椎間融合術(shù)配合中藥外敷治療退行性腰椎滑脫癥的臨床療效。方法:2012年5月至2014年5月,采用椎間融合術(shù)配合中藥外敷治療退行性腰椎滑脫癥患者49例,男7例、女42例。年齡52~68歲,中位數(shù)57歲。均為腰椎單節(jié)段滑脫,其中L3~413例、L4~536例。合并腰椎關(guān)節(jié)突增生20例、側(cè)隱窩狹窄29例。病程6個月至7年,中位數(shù)2年。隨訪觀察患者腰椎疼痛改善及功能恢復(fù)情況。結(jié)果:所有患者均獲隨訪,隨訪時間12~30個月,中位數(shù)20個月。治療前腰部疼痛視覺模擬量表評分為(4.87±1.02)分,治療后為(0.97±0.52)分。治療前日本骨科學(xué)會(Japanese orthopaedic association,JOA)下腰痛評分為(10.43±1.22)分,治療后為(16.08±2.15)分。參照JOA評分改善率評價療效,臨床控制14例、顯效22例、有效10例、無效3例。結(jié)論:椎間融合術(shù)配合中藥外敷治療退行性腰椎滑脫癥,操作簡單、療效好,可以有效促進腰椎功能恢復(fù),值得臨床推廣應(yīng)用。

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更新日期/Last Update: 2016-02-29