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目的:观察快速牵引治疗腰椎间盘突出症突出物的 CT 变化。方法:32例中央型和侧后型突出患者,随访时间3个月~4年,平均12.04个月。采用 AB×CD/EF×GH 比值法,在 CT 片上测量突出物。结果:32例腰椎间盘突出症无一例突出物完全消失,其中27例突出物缩小占84%;5例突出物稍增大占16%。比值测定:侧后型20例治疗前为0.183 0±0.066 3,随访时为0.130 3±0.061 8(P<0.05);中央型12例治疗前为0.233 7±0.085 8,随访时为0.157 2±0.074 9(P<0.05)。结论:快速牵引可使突出物部分缩小,但不能完全消失。
Objective: To observe the changes of CT in the treatment of lumbar disc herniation by rapid traction. Methods: Thirty-two cases of central and posterior type of prominent patients were followed up for 3 months to 4 years with an average of 12.04 months. Using the AB × CD / EF × GH ratio method, protrusions were measured on a CT slice. Results: None of the 32 cases of lumbar disc herniation completely disappeared, of which 27 cases contracted 84%; 5 cases slightly increased 16%. The ratios were determined: 20 cases of lateral posterior type were 0.183 0 ± 0.066 3 before treatment and 0.130 3 ± 0.061 8 at follow-up (P <0.05). The central 12 cases were 0.233 7 ± 0.0858 before treatment and 0.157 2 ± 0.074 9 (P <0.05). Conclusion: Rapid traction can make the protrusions partially reduced, but not completely disappear.