小针刀配合手法治疗第三腰椎横突综合征70例

笔者自１９９８年３月以来，运用小针刀配合手法治疗第三腰椎横突综合征７０例，疗效满意，现报道如下。１　临床资料７０例中男５２例，女１８例；年龄最大６３岁，最小２３岁，以３０～５０岁最多；病程最长１５年，最短半年；单侧发病者４７例，双侧发病者２３例。合并症：腰椎间盘突出症１５例，棘间、棘上韧带损伤１３例，梨状肌、骶髂关节损伤６例，髂腰韧带损伤８例。经过较长时间的封闭、按摩、理疗等治疗未见好转，病情较重，严重影响工作和生活者１２例。诊断标准参照文献［１］拟定：①有轻重不等的外伤史或劳损史。②患侧腰肌紧…

Syndrome of the Third Lumbar Vertebra Transverse Process Treated with Knife-Needle and Manipulation

cases with syndrome of L 3 transverse process were treated firstly with knife needle. The cutting edge of the needle was made parallel to the body longitudinal axis, then inserted perpendicularly from the tender point of the L 3 transverse process into the surface of the process with 2 to 3 cuts horizontally to the trip adhesion. For the sever or long term case, the manipulator tripped horizontally, then turned the cutting edge to be vertical to the spine with another 2 to 3 cuts, withdrew the needle when having the loose sensation between the muscle and bone. After that, the manipulation of separating and restoring soft tissues and elbow pressing were done on the L 3 transverse process area. Chiropractic manipulation of rotational reduction on the lumbar vertebra was also applied for those patients whose spinal process was deviated. The results showed that 58 case were cured, 7 markedly improved, 3 effective and 2 ineffective. The total effective rate amounted to 97.14%. Among them 38 cases were cured after one treatment, 12 after two and 8 after three and more treatments.