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投稿时间：2021-04-09 网络发布日期：2021-11-20
投稿时间：2021-04-09 网络发布日期：2021-11-20
中文摘要: 目的 基于脊柱-骨盆参数的改变，观察三维牵引治疗退变性腰椎滑脱症（DLS）的临床疗效。方法 前瞻性对照研究2018年10月至2019年3月收治的DLS患者39例，观察组19例采用三维牵引治疗，对照组20例采用骨盆牵引治疗，治疗周期为1个月，前后共分别牵引15次，测量治疗前后的矢状位角度改变和国际腰痛疾患疗效评定标准（JOA评分）、视觉模拟评分（VAS），随访时间为3个月。结果 治疗后观察组骨盆倾斜角（PT）增加，骶骨倾斜角（SS）、腰椎前凸角（LL）减小，VAS评分降低，JDA评分升高，且优于对照组，差异有统计学意义（P<0.05）。结论 三维牵引治疗退变性腰椎滑脱症能有效的改善脊柱-骨盆参数，并具有良好的临床疗效。
Abstract:Objective Based on the changes of spine-pelvis parameters, to observe the clinical efficacy of three-dimensional traction in the treatment of degenerative lumbar spondylolisthesis (DLS). Methods Prospective control study was carried out in 39 patients with DLS treated from October 2018 to March 2019. Three-dimensional traction was conducted in observation group (n=19), and pelvic traction was performed in control group (n=20). The treatment lasted for 1 month in both groups, with 15 times of traction, respectively. Before and after treatment, the changes in spinal-pelvis parameters, JOA(Japanese orthopedic association) score and visual analogue scale(VAS) were measured. The patients were followed-up for 3 months. Results After treatment, pelvic tilt angle (PT) increased, sacral tilt angle (SS) and lumbar lordosis angle (LL) decreased, VAS decreased, JOA increased in observation group, and were significantly better than those in control group (P<0.05). Conclusion In the treatment of DLS, three-dimensional traction can effectively improve the spine pelvic parameters and has a good clinical effect.
keywords: Degenerative lumbar spondylolisthesis Spinal-pelvis parameters Three-dimensional traction Pelvic traction
文章编号： 中图分类号：R687.3 文献标志码：A
基金项目:广东省中医药管理局资助项目（20172076）
引用文本：
郭俊彪,吴树旭,王慧敏,等.基于脊柱-骨盆参数变化探讨三维牵引治疗退变性腰椎滑脱症的临床疗效[J].中国临床研究,2021,34(11):1503-1506.
郭俊彪,吴树旭,王慧敏,等.基于脊柱-骨盆参数变化探讨三维牵引治疗退变性腰椎滑脱症的临床疗效[J].中国临床研究,2021,34(11):1503-1506.