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浙江大学学报（医学版）
Journal of ZheJiang University(Medical Science)  2011, Vol. 40 Issue (1): 90-93    DOI: 10.3785/j.issn.1008-9292.2011.01.016
    
Combination of canales sacralis drop with acupotomy dissolution in treatment of discogenic lumbocrural pain
LIANG Xiao-hong1,ZHANG Xin-gen1,XU Guang-tao2,WEI Wei-yu1
1.Zhejiang Rongjun Hospital,Jiaxing 314001,China; 2.Jiaxing University Medical College,Jiaxing 314001,China
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Abstract  Objective： To evaluate the combination of drop in canales sacralis with acupotomy dissolution in the treatment of lumbocrural pain caused by slipped discs.
Methods： One hundred and thirty-nine patients with lumbocrural pain caused by slipped discs were randomly divided into 3 groups:cases in Group A were treated by the drop in canales sacralis,in Group B by acupotomy dissolution and in Group C by the combination of canales sacralis drop with acupotomy dissolution. MacNab score and VAS score were assayed before treatment and 1 week,3 and 6 months after treatment.
Results： The effective rates in Groups A,B and C at 1 week, 3 and 6 months after treatment were 71.4%,75.5%,79.6%; 75.0%,79.6%,81.8% and 89.1%,91.3%,93.5%,respectively (P<0.01). The pain intensity in Group C was reduced more markedly at different time points after treatment than that in Group A and Group B (P<0.01).
Conclusion： The combination of canales sacralis drop with acupotomy dissolution is superior to each method used alone in treatment of lumbocrural pain caused by slipped discs in the short- and long-term.

Key words： Lumbar vertebrae      Intervertebral disk displacement/drug ther； Instillation      drug； Sacrum； SMALL KNIFE NEEDLE； LUMBAGO-LEG PAIN； Combined modality therapy     
Published: 25 January 2011
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Cite this article:

. Combination of canales sacralis drop with acupotomy dissolution in treatment of discogenic lumbocrural pain. Journal of ZheJiang University(Medical Science), 2011, 40(1): 90-93.

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https://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2011.01.016     OR     https://www.zjujournals.com/med/Y2011/V40/I1/90


骶管滴注联合小针刀治疗椎间盘源性腰腿痛的疗效观察

目的：比较骶管滴注疗法联合小针刀松解治疗腰椎间盘突出所致腰腿痛的临床疗效。
方法：典型腰腿痛并经CT或MRI证实腰椎间盘突出症患者139例，遵从患者知情同意原则，按入院前后顺序分为骶管滴注组（A组）、小针刀组（B组）、骶管滴注联合小针刀松解组（C组）。采用MacNab疗效评价标准及VAS评分法评价治疗前、治疗后1周、3个月及6个月的临床疗效和疼痛程度。
结果：A、B、C组治疗后总有效率1周、3个月和6个月分别为71.4%、75.5%、79.6%，75.0%、79.6%、81.8%和89.1%、91.3%、93.5%，C组与A、B两组总有效率比较差异有统计学意义（P<0.01）。术后同时期疼痛强度比较，C组较A、B两组疼痛程度明显缓解，差异有统计学意义（P<0.01）。
结论：骶管滴注联合小针刀松解治疗椎间盘源性腰腿痛不仅能迅速改善近期症状，而且其远期疗效稳定，是治疗腰椎间盘突出所致腰腿痛的一种安全有效方法。

关键词： 腰椎； 椎间盘移位/药物疗法； 滴注,  药物； 骶骨； 小刀针； 腰腿痛； 综合疗法 
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