The clinical efficacy of sacral hiatus epidural blocking combined with three-dimensional rapid traction for the treatment of lumbar disc herniation
10.3760/cma.j.issn.0254-1424.2011.03.013
- VernacularTitle:快速牵引配合骶裂孔硬膜外阻滞治疗腰椎间盘突出症的临床疗效观察
- Author:
Xihua LIU
;
Shouwei YUE
- Publication Type:Journal Article
- Keywords:
Lumbar disc herniation;
Sacral hiatus injections;
Traction
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2011;33(3):202-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of three-dimensional rapid traction combined with sacral hiatus epidural blocking for the treatment of lumbar disc herniation(LDH). Methods A totsl of 450 patients with LDH were divided into three groups.Group A received conventional slow traction,group B received three-dimensional rapid traction,and group C received sacral hiatus injections for epidural blocking combined with three-dimensional rapid traction.The Japanese Orthopadedic Association(JOA)scale for lumbar disease and a visual analogue scale(VAS)were used to evaluate the treatment effect and the patients'subsequent quality of life.All of the patients were followed up for 1 year and evaluated using standard clinical evaluations. Results The average VAS scores and JOA scores of the three groups were not significantly different before treatment,and all had significantly improved after treatment.The overall effectiveness rates were 63.33% for group A,90.67%for group B and 94% for group C,and these differences were all statistically significant.After one year the recurrence rates in the A,B and C groups were 20.7%,14.0%and 8.7% respectively,and these differences were again statistically significant.Conclusion Sacral hiatus epidural blocking combined with three-dimensional rapid traction showed good therapeutic effect and safety for LDH patients and was superior to simple rapid traction or slow traction.
