共查询到19条相似文献,搜索用时 93 毫秒
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目的探讨传统方法治疗第三腰椎横突综合症在中、小型医院的应用。方法总结76例第三腰椎横突综合症患者采用推拿手法点穴疗法治疗的效果。结果第三腰椎横突综合症患者临床治愈54例,占71%,显效22例,占29%,无效0例。结论推拿手法加点穴疗法治疗第三腰椎横突综合症疗效好、安全,值得在中、小型医院推广。 相似文献
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笔者运用小针刀加手法治疗第三腰椎横突综合症60例,现总结报告如下。1 临床资料本组60例中,男42例(其中青年战士38例),女18例;年龄19~50岁;病程15月~10年;发病部位:左侧23例,右侧17例,双侧20例。全部病例均按邵氏第三腰椎横突综合症标准诊断[1]。2 治疗方法①针刀治疗:患者俯卧,在第三腰椎横突尖部找准压痛点,用龙胆紫作标记,常规消毒,铺洞巾。术者戴无菌手套,左手拇指按压在标记处,右手持针刀,使刀刃和骶棘肌平行,垂直快速进入,直达第三腰椎横突骨面。再将刀锋移至横突尖端,先纵行切割2~3刀,然后横行铲剥,感觉刀下组织已松动即可出针,… 相似文献
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第三腰椎横突综合征的诊治体会 总被引:1,自引:0,他引:1
L3横突综合征,是以L3横突尖部明显压痛为特征的腰腿痛性疾患,是颈腰痛门诊的常见病。此病不仅多见于青壮年,老年人也有发病,若诊断不明或治疗不当,容易造成误诊误治。我科近几年来应用小针刀疗法治疗患者1100例,取得了满意的疗效,现报告如下。 相似文献
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Bong-Jin Lee Seong-Tae Kim Min Geun Yoon Sung-Soo Kim Myung-Sang Moon 《Clinics in Orthopedic Surgery》2011,3(3):254-257
Pyogenic spondylitis involving only the posterior element of a vertebra is rare. To the best of our knowledge, there have been no reports of osteomyelitis of the transverse process. We report here on a 45-year-old male with a one month history of swelling associated with lower back pain. The magnetic resonance imaging showed a paraspinal soft tissue mass, and computed tomography revealed a fine osteolytic lesion in the right transverse process of the 5th lumbar spine, and this was all consistent with chronic osteomyelitis. A mixed staphylococcal infection was identified. Open drainage, resection of the transverse process and intravenous injection of anti-staphylococcal antibiotics resolved the back pain and reduced the erythrocyte sedimentation rate to normal. Pyogenic osteomyelitis of the transverse process is extremely rare, which can cause a misdiagnosis or a delayed diagnosis. Careful consideration of this disease is needed when evaluating patients who complain of back pain. 相似文献
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本文复习了205例已手术治疗的腰椎间盘突出的症病人的术前X线表现,结果提示深 L5发生L4-5椎间盘突出的可能性增高,而高骑L5则与L5-S1椎间盘出有关,腰骶移行椎的发生率较正常人显著增高,而腰骶角的病理意义尚难确定。 相似文献
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Josef Finsterer Claudia St?llberger Georg M?lzer Holger Fischer 《The journal of spinal cord medicine》2009,32(5):587-590
Background:
Despite typical signs of Leriche syndrome, this patient was misdiagnosed with disk prolapse. Vascular insufficiency, such as aortic occlusion, may underlie a motor-sensory deficit in the lower extremities.Method:
Case report.Findings:
A 67-year-old woman was admitted for cramping pain in the lumbar spine, hips, and legs; diffuse weakness and sensory disturbances of both legs for weeks; and a cold feeling and livid colorization of the legs. Her complaints were attributed to a disk prolapse L5/S1, for which she underwent immediate laminectomy. Postoperatively, symptoms and signs were aggravated, abdominal pain developed, and C-reactive protein and creatinine were elevated. On the fourth postoperative day, femoral pulses were no longer palpable, anuria developed, and computed tomographry angiography showed occlusion of the abdominal aorta distal to the superior mesenteric artery and absent kidney perfusion. The patient died one day later. Postmortem review showed a visible intra-aortic mass on the previous lumbar magnetic resonance image.Conclusions:
The differential diagnosis of painful lumbar transverse syndrome should include vascular disease. Misinterpretation of a Leriche syndrome as a disk prolapse has not been reported. 相似文献14.
ATP注射治疗第三腰椎横突综合征 总被引:8,自引:0,他引:8
目的:探索第三腰椎横突综合征的临床治疗。方法:采用三磷酸腺苷二钠注射液20mg,5%碳酸氢钠注射液5-10ml和2%盐酸利多卡因2-5ml混合液注射于第三椎横突末端。每3天注射1次,平均注射4.05次,治疗后1年随访。结果:治疗60例,治愈52例,好转8例。结论:明确诊断,合理的药物组合,准确的注射方法是提高疗效的关键。 相似文献
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Josef Finsterer MD PhD Claudia Stöllberger MD Georg Möizer MD Holger Fischer MD 《The journal of spinal cord medicine》2013,36(5):587-590
AbstractBackground: Despite typical signs of Leriche syndrome, this patient was misdiagnosed with disk prolapse. Vascular insufficiency, such as aortic occlusion, may underlie a motor-sensory deficit in the lower extremities.Method: Case report.Findings: A 67-year-old woman was admitted for cramping pain in the lumbar spine, hips, and legs; diffuse weakness and sensory disturbances of both legs for weeks; and a cold feeling and livid colorization of the legs. Her complaints were attributed to a disk prolapse L5/S1, for which she underwent immediate laminectomy. Postoperatively, symptoms and signs were aggravated, abdominal pain developed, and C- reactive protein and creatinine were elevated. On the fourth postoperative day, femoral pulses were no longer palpable, anuria developed, and computed tomographry angiography showed occlusion of the abdominal aorta distal to the superior mesenteric artery and absent kidney perfusion. The patient died one day later. Postmortem review showed a visible intra-aortic mass on the previous lumbar magnetic resonance image.Conclusions: The differential diagnosis of painful lumbar transverse syndrome should include vascular disease. Misinterpretation of a Leriche syndrome as a disk prolapse has not been reported. 相似文献
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不典型腰椎间盘突出马尾综合征的误诊分析 总被引:2,自引:0,他引:2
目的:对继发于腰椎间盘突出的马尾综合征的误诊原因进行分析。方法:对本院收治的4例继发于腰椎间盘突出的马尾综合征的误诊病例的症状、体征、影像学表现、手术、随访结果进行研究分析。结果:本组手术无手术并发症,但术后患者的症状恢复较慢,甚至随访时仍有部分症状残留。结论:造成腰椎问盘突出马尾综合征误诊的主要原因为发病时缺少典型的腰腿痛症状以及缺少对会阴部感觉的详细检查,对于继发椎间盘突出的马尾综合征,只要通过详细的询问病史和体格检查,结合CT、MRI等影像学检查,早期诊断是不困难的。一旦诊断,就应立即手术。延迟手术明显影响疗效,甚至残留永久性的神经损害。 相似文献
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腰椎间盘突出症致马尾神经综合征的外科治疗 总被引:6,自引:2,他引:4
目的:根据马尾神经综合征发病机制的临床研究和临床治疗现状,提出外科干预的术式,提高其手术疗效。方法:致压物摘除、神经根节部的无创减压是治疗马尾神经综合征主要的外科技术。结果:马尾神经综合征改良术可在到神经根节内的即刻减压,时机得当,能迅速缓解主要病理变化。结论:马尾神经综合征的改良术式将是提高马尾神经综合征治疗效果的重要方法。 相似文献
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