影像监探下针刀治疗血瘀腰痛机制和定位探讨(唐峰).doc

影像监控下腰椎间盘突出症（血瘀证）针刀治疗机制和定位操作探讨 唐峰，吕武宾，邓军，姜兴鹏 （重庆三峡医药高等专科学校，重庆，万州，404000） [作者简介] 唐峰（1978～），主治医师，主要从事颈肩腰腿痛临床治疗。联系地址：重庆市万州区白岩路398号重庆三峡医药高等专科学校附属中医医院针灸科，邮编404000，电 [摘要] 腰椎间盘突出症临床分型较多，其中血瘀证是主要证型之一。由于外伤或自身变性，髓核或纤维环向椎管内或椎间孔内突出，突出部分挤压神经根，引起出血，水肿或变性等炎症反应变化，造成慢性粘连、纤维组织增生、变性与肌挛缩，新陈代谢障碍而出现疼痛和神经压迫症状。我们通过临床研究，以C臂X光机为辅助，对针刀定点进行简化，通过四点定位，规范实际针刀操作手法，在影像监控下准确进行针刀操作手法。针刀治疗较常规针灸保守治疗在治疗血瘀证腰腿痛方面，能有效对局部病变组织处进行松解、剥离、铲削，可减轻炎症区域内压，阻断其对神经血管的恶性刺激，促使局部毛细血管扩张，改善血液循环，缓解或纠正缺血、缺氧状态，有利于致痛物质吸收代谢和炎症消退，改变组织的病理反应和恢复脊柱的动态生理平衡，从而达到治疗本病目的。 [关键词] 针刀；腰椎间盘突出症；腰腿痛； [abstract] lumbar intervertebral disc clinical classification is more, Blood stasis syndrome which is the main type of card. Due to trauma or their own degeneration,Pulp nuclear or fiber to ring in the spinal canal or between vertebra hole is outstanding, Prominent part extrusion nerve root, the bleeding, edema, or degeneration of inflammation change, Cause chronic adhesion, fibre hyperplasia, degeneration and muscle spasm, Metabolism obstacles and the occurrence of pain and nerve compression symptoms. We through the clinical research, In C arm X-ray machine for auxiliary, Acupotomology to simplify the dot,Through the four positioning, regulating the actual acupotomology operation skill, In the image monitoring for acupotomology under accurate operation skill. acupotomology than traditional acupuncture treatment of conservative treatment in the treatment of blood stasis syndrome backleg pain,Can effectively to local lesion on loose solution, peel begins, the shovel cut, To reduce inflammation pressure inside the area, to block the vessels and nerves malignant stimulation,Make local blood capillary dilate, improve blood circulation, relieve or correct ischemia and hypoxia state, To cause pain material absorb metabolism and inflammation subsidise, change the organizations pathological response and recovery of the spine dynamic physiological balance, so as to achieve the purpose the treatment of this disease. [key words] Acupotomo