针灸推拿在腰椎间盘突出症中的应用专家讲座.pptxVIP

针灸推拿

在腰椎间盘突出症中应用;針灸概況;針刺療法全球概況;針灸能够治療那些疾病？;針灸：回顧與分析報告對照臨床試驗世界衛生組織,;已被證明通過對照試驗，是一種有效治療。;針灸治療效果已被證明，但需要進一步證據;只有個別對照試驗報告一些治療作用，但它

是值得嘗試，因為常規及其它治療效果不佳;可嘗試針灸，但需含有現代醫學知識

和足夠監測設備;今天内容;一、概述;;;;;Functionalspinalunit,

Trijointcomplex:

脊柱功效单位

三关节复合体

Thediskand2zygapophysealjointsatthesamelevelfunctionasatrijointcomplex.

;针灸推拿在腰椎间盘突出症中的应用;;;;?;纤维环撕裂,椎间盘膨出,凸出,髓核突出,脱离;;;;;;Inthisillustrationtheyellowlinesrepresentanexampleofanatomicallynormalvertebralendplates.

Thefinegreenlinesrepresentthepassageofnutrientsacrosstheseendplatesbydiffusionandconvectionintothenormalintervertebraldisc..;DifferentialDiagnoses，OtherProblemstoBeConsidered

Discitis椎间盘炎;MRI;AT2-weightedsagittalimagerevealsdiffusediscdegeneration,characterizedbylowsignalintensityonT2-weightedimagesthroughoutthediscs.Thisterminologyispreferredtodiscdesiccation,asstudieshaveshownthatthechangeinT2signalcharacteristicsinvolvemorethanjustdifferencesinwatercontent.AtL4-5,additionalfeaturesofintervertebralosteochondrosisarepresent,withdiscspacenarrowingandreactiveendplatesignalchanges(arrows)beingapparent.

椎间盘干燥,终板反应;VertebralEndplates

终板;Schmorlsnodesrepresentherniationofintervertebraldisknuclearmaterialthroughthevertebralbodyendplate.;二、病因及临床症状;;三、临床检验;（二）各种特殊查体;LaseguesSign

StraightLegRaiseTest

直腿抬高

Negative___Positive___

Comment:(Left/RightLegpain,Left/Rightlowbackpain,etc.,at______degrees);四、影像学检验;;Alocalanestheticisusedtonumbthetargetarea.Fluoroscopy,animagingtechniquethatprojectsanx-raytypepictureontoamonitor,isusedtoguidethespinalneedleintothesuspectintervertebraldisc.Aradiopaquedyeistheninjectedthroughthespinalneedleintothenucleus(center)ofthedisc.

荧光透视

椎间盘造影;;腰椎椎管内及其内正常表现;;;（三）MRI

腰椎MRI正常表现;;2.腰椎间盘突出MRI征象

;五、腰椎间盘突出症诊疗;;针灸推拿在腰椎间盘突出症中的应用;Somaticallyreferredsymptoms;