推拿后重症腰椎间盘突出症的手术治疗

Operative therapy in severe herniated lumbar discs after manipulating treatment

中文关键词:  推拿,严重腰椎间盘突出症,手术技术

英文关键词:Manipulation,Severe herniated lumbar discs,Surgical technique

中文摘要:

  本文介绍了１８８例推拿手法后的重症腰椎间盘突出症手术治疗结果，优良率为９５％．作者强调术前明确定性定位诊断、正确细致的手术操作技术是手术治疗成功的关键．从本组病例临床症状和体征的发展，以及手术中的病理所见，作者认为不适当的推拿手法可以使椎间盘突出加重，甚至发生马尾神经或神经根损伤的严重并发症．文中强调，在提倡推拿治疗的同时，应当严格掌握手法推拿和外科手术治疗的适应证。当推拿手法出现神经并发症时，应及时采取减压手术，解除对神经的压迫．

英文摘要:

  cases of severe herniated lumbar discs after manipulative were treated operatively. It showed that the excellent and good rate was 9.5%. The authors emphasized that an accurate diagnosis, strict indications prior to operation, correct and skillful treatme