| 腰椎术后骶髂关节源性下腰痛的特点和治疗 |
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| 引用本文： | 陈剑峰,汤建华,田小武.腰椎术后骶髂关节源性下腰痛的特点和治疗[J].实用临床医药杂志,2011,15(5):39-41,48. |
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| 作者姓名： | 陈剑峰 汤建华 田小武 |
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| 作者单位： | 南京中医药大学无锡附属医院,脊柱脊髓科,江苏,无锡,214001 |
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| 摘 要： | 目的探讨腰椎术后骶髂关节源性下腰痛的特点和治疗。方法 2006~2009年对64例腰椎术后骶髂关节源性下腰痛的患者进行回顾性研究。综合分析临床资料、体征及影像学表现,总结其临床特点,并予手法调整骶髂关节,辅予封闭术治疗,通过VAS、活动能力及改良Macnab标准来评定治疗疗效。结果随访8~42个月(平均22.7个月),患者治疗后的VAS评分(2.01±1.03)较治疗前(9.01±2.30)改善明显(P<0.01);活动能力评分(1.01±0.3)较治疗前(2.6±0.30)改善明显(P<0.01)。结论腰椎融合术后骶髂关节病变是引起术后下腰痛的重要原因之一,腰椎术后应力的改变导致的骶髂关节错位是骶髂关节源性下腰痛的主要原因。封闭是诊断骶髂关节源性下腰痛的最有效的方法,手法调整骶髂关节,辅予封闭术治疗该疾病的简单、安全、有效的方法。
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| 关 键 词： | 骶髂关节 腰痛 手法治疗 封闭治疗 |
Analysis of clinical character and management for the sacroiliac joint pain after lumber fusion |
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| CHEN Jian-feng,TANG Jian-hua,TIAN Xiao-wu.Analysis of clinical character and management for the sacroiliac joint pain after lumber fusion[J].Journal of Clinical Medicine in Practice,2011,15(5):39-41,48. |
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| Authors: | CHEN Jian-feng TANG Jian-hua TIAN Xiao-wu |
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| Affiliation: | CHEN Jian-feng,TANG Jian-hua,TIAN Xiao-wu(Wuxi Hospital Affiliated to Nanjing University of Chinese Medicine,Wuxi,Jiangsu,214001) |
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| Abstract: | Objective To investigate the clinical character and the management of sacroiliac joint pain after lumber fusion.Methods 64 patients with sacroiliac joint pain after lumbar fusion between 2006 and 2009 were analyzed retrospectively about clinical data,physical sign and image.We use bone setting manipulation and sacroiliac anesthetic blocks to treat of sacroiliac joint disloca-tion.The visual analogue scale(VAS),mobility,and modified MacNab criteria were employed to measure the clinical outcomes.Results The t... |
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| Keywords: | sacroiliac joint back pain bone setting manipulation sealtreat |
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