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Objective To observe the therapeutic efficacy of ultrastructural dense acupotomy treatment in treating lumbar intervertebral disc herniation (LIDH). Methods Seventy-two LIDH patients were randomized into a treatment group and a control group, 36 in each group. The treatment group was intervened by ultrastructural dense acupotomy treatment, while the control group was by conventional acupuncture. The therapeutic efficacy was evaluated after a course of treatment. The visual analogue scale (VAS) was adopted for assessing pain, and the Japanese Orthopaedic Association (JOA) score for estimating the symptoms, signs, and functional activities. Results The VAS and JOA scores were significantly changed in both groups after intervention (P＜0.01). There were significant differences in comparing the changes of VAS and JOA scores between the two groups (P＜0.01, P＜0.05). The total effective rate was 97.2% in the treatment group versus 80.6% in the control group, and the difference was statistically significant (P＜0.05). Conclusion Ultrastructural dense acupotomy treatment is an effective approach in treating LIDH.
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Objective: To investigate explore Lumbar disc herniation in senile multi-segment posterior decompression and discectomy. Methods:To select from 62 to 85 years old were treated in our hospital from September 2007 to October 2012 for surgical treatment of 80 patients with senile multi-segmental lumbar disc herniation were divided into two groups, 62-year-old to 70-year-old group, by age, 71-year-old to 85-year-old group, choose the right posterior decompression and discectomy disc disease in each patient location, type, etc. surgical approach, adopt the intervertebral unilateral fenestration decompression discectomy patients 45 cases; bilateral laminectomy discectomy patients 18 cases;dual intervertebral unilateral half laminectomy excisionpatients 17 cases. Results:Surgical treatment of the two groups of patients with different ages compared to the excellent 62-year-old to 70-year-old patients was significantly higher than the excellent 71-year-old to 85-year-old patients. Conclusion:Surgery is effective treatment of senile multi-segmental lumbar disc herniation, the efficacy of elderly patients older than younger elderly patients.
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@#Objective To compare the curative effects of lumbar traction in supine position with hip flection and extension for prolapse of lumbar intervertebral disc (PLID).Methods 84 PLID patients were all treated by lumbar traction in supine position. But, group A (42 cases) with hip flection and group B (42 cases) with hip extension. Before and after three weeks therapy, all patients were assessed by Fairbank JC index and Visual Analogue Scales (VAS) to observe the symptom and pain condition.Results The scores of Fairbank JC index and VAS scale of the patients in group A were significantly lower than those in the group B (P<0.001).Conclusion Lumbar traction in supine position with hip flection for the PLID can obviously promote the curative effects.
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@#Objective To observe the clinical effect of conservative therapy on prolapse of lumbar intervertebral disc(PLID).Methods 365 PID patients included 78 acute cases and 287 subacute cases.The treating principle for acute cases was eliminating edema and aseptic inflammation,and that for subacute cases was releasing adhesion and removing inflammatory stimulation to nerve root.Results Of 78 acute patients,60 cases(76.9%) healed,18 cases(23.1%) improved;of 287 subacute patients,186 cases(64.8%) healed,101 cases(35.2%) improved,the effective rate of 365 patients was 99.7%.Conclusion Conservative therapy is effect on PLID at acute and subacute periods.
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@#Objective To evaluate the clinical effect of medical gymnastics combined with no-invasive treatment on prolapse of lumbar intervertebral disc (PLID).Methods64 patients with PLID were divided into the gymnastics group and control group with 32 cases in each group. The gymnastics group was treated by no-invasive synthesize treatment combined with medical gymnastics. The control group treated only with no-invasive synthesize treatment. The therapeutic effect was evaluated when patients were out of hospital and 3 months late.ResultsClinical effect of forward term (3 months) in the gymnastics group was batter than the control group ( P<0.05).ConclusionThe no-invasive synthesize treatment combined with medical gymnastics has an obvious effect on PLID.
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@#Objective To evaluate the operative results of the prolapse of lumbar intervertebral disc and segmental instability.Methods37 patients with prolapse of lumbar intervertebral disc and segmental instability were treated surgically, including nucleus gelatinosus extirpation,!lumbar fusion and transpedicular screw fixation with an average 9-month follow-up after the operation.ResultsAfter the treatment, the completely spine arthrodesis was obtained in all cases. Of 37 cases, 28 cases showed excellent clinical results, 7 cases were good, 2 cases improved, and the total fineness rate was 95.6%.ConclusionIt is an effective therapy for patients with prolapse of lumbar intervertebral disc and segmental instability that fusing and fixing the lumbar with transpedicular screw after nucleus gelatinosus extirpation.
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[Objective] To sum up the clinical effect of prolapse of lumbar intervertebral disc treated with combining massage muscle-loosing and bone-setting.[Method] Take the non-operation method above to treat 77 cases.[Result] 57 cases were cured,16 had marked effect,4 had no effect,and the total effective rate was 94.81%.[Conclusion] The said method has satisfying result to the said disease.
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@#Objective To observe the effect of pelvic traction combined with Chinese medicinal herbs hot pack-electrotherapy on prolapse of lumbar intervertebral disc (PLID).Methods Eighty patients with PLID were treated with pelvic traction combined with Chinese medicinal herbs hot pack-electrotherapy. The curative effect were assessed with Japanese Orthopedic Association Scoring System (JOA score).Results After treatment, symptoms, signs and activities of daily living of patients improved significantly ( P<0.01).Conclusion Pelvic traction combined with Chinese medicinal herbs hot pack-electrotherapy has an obvious curative effect on PLID patients.
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@#ObjectiveTo investigate the factors influencing pelvic traction used for prolapse of lumbar intervertebral disc (PLID).Methods200 PLID patients were treated by pelvic traction 30 min/d for 3 courses (10 days as one course).ResultsAfter treatment, therapeutic effects were prominent in 58 cases, effective in 78 cases, improvable in 34 cases, and invalid in 30 cases.ConclusionThere are definite indications in the treatment of PLID with pelvic traction. In order to gain satisfied therapeutic effect, appropriate cases should be selected for pelvic traction.
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@# ObjectiveTo observe the curative effect of lumbar traction and Huantiao point-injection in the same side on lower limb pain induced by prolapse of lumbar intervertebral disc.Methods86 patients with lower limb pain induced by prolapse of lumbar intervertebral disc were randomly divided into the treatment group and control group with 43 cases in each group. Patients of the treatment group were treated by Huantiao point-injection in the same side and lumbar traction, and cases of the control group were treated by lumbar traction only.ResultsThe recovery rate of the treatment group was higher than that of the control group (P<0.01) after 3 weeks treatment.ConclusionThe effect of lumbar traction and Huantiao point-injection in the same side on lower limb pain induced by prolapse of lumbar intervertebral disc is better than lumbar traction only.
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@#ObjectiveTo find out the reason of sacro-iliac articulation malposition misdiagnosed as single prolapse of lumbar intervertebral disc, define the essential point of diagnosing sacro-iliac articulation malposition, and choose the best treatment.MethodsChanges such as X-ray photos of lumbosacral portion and pelvis, CT photos, physiological curvature, pyramid space, joint space, pubic symphysis, and wing of ilium showed in MRI photos, and symptoms, signs of 29 patients with sacro-iliac articulation malposition were analyzed and compared with distribution of nerve in the same part.Results29 patients with sacro-iliac articulation malposition all had bulge of lumbar intervertebral disc showed by CT and MRI photos, 26 had retrograde affection of spinal column, 17 had spinal column sequence changes showed by X-ray photos. After 3-10 times treatment on the basis of sacro-iliac articulation malposition, 19 healed, 8 were effective, and 2 had been better.ConclusionCurative method of sacro-iliac articulation malposition is different with prolapse of lumbar intervertebral disc, although there being many same symptoms and signs, only need conservative treatment.
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@#ObjectiveTo study the effect of different treatment on prolapse of lumbar intervertebral disc. Methods 169 patients with prolapse of lumbar intervertebral disc were divided into two groups, the contral group treated with traction and massage, and the comprehensive group treated with acupuncture, physical therapy, and phsiotherapy besides traction and massage. The assessment included index and rate in improvement and efficiency of rehabilitation. Results The index and rate in improvement and efficiency of rehabilitation is better in the comprehensive group than in the contral group. The course of treatment in the comprehensive group is shorter than that in the contral group.