王国才1 王建文 1 王建萍 2
1 安徽省淮北市民康医院 2 淮北供电公司职工医院
摘要：
目的：运用银质针针灸治疗腰椎间盘突出症髓核摘除术后腰腿痛复发的患者，观察疗效。
方法：2003年3月—2012年7月，我们对慕名来诊的102例腰椎间盘突出症经外院行突出的腰椎间盘髓核摘除术后仍有严重腰腿痛患者，经腰脊柱三种试验96例阴性，6例腰脊柱三种试验阳性；在腰骶部、骶髂部、髂翼外面、大腿根部及膝、踝部等规律性高中度敏感压痛点处强刺激推拿（深部压痛点用利多卡因注射试验）后所有征象立即缓解，对这些高度敏感压痛区分别辨证银质针针灸，每日治疗一次一区，10日为一疗程，逐日观察疼痛等征象缓解程度，对腰椎间盘切除手术区瘢痕处不作处理。对6例出现腰脊柱三种试验阳性者，加骶疗等消除继发的椎管内脂肪组织中无菌性炎症。
结果：102例都耐受了进针后的银质针针感，首次治疗后征象多明显减轻，随着逐日治疗，疗效稳步提高，经2至4个疗程后临床治愈89例，显效9例，有效4例。无意外并发症。
结论：腰椎间盘突出症髓核摘除术后腰腿痛复发的患者多为残留骶髂部、腰骶部附着处原发的软组织无菌性炎症损害为主与髂翼外面、腰椎侧面、大腿根部等多部位继发的软组织无菌性炎症损害并存的集结征象；用银质针灸辩证对这些软组织损害区分步治疗，使临床治愈显效率极大地提高。认定该疗法治疗腰椎间盘突出症髓核摘除术后腰腿痛复发的患者治愈率高、安全、经济，不破坏腰脊柱稳定结构，不失为当代治疗腰椎间盘突出症髓核摘除术后腰腿痛复发的患者的最佳疗法。慢性腰腿痛与腰椎间盘突出和增生骨赘无关。
关键词：银质针 辨证治疗 腰椎间盘突出症髓核摘除术后腰腿痛复发的患者。
After excision operation is still low back pain, lumbar disc herniation
by silver needle radical
Abstract
Wang Guocai 1 Wang Jianwen 1 Wang Jianping 2
Anhui people hospital of Huaibei City, 235000
Objective: the silver needle therapy in the treatment of lumbar disc herniation resection after operation of patients with low back pain, curative effect observation.
Methods: in 2003 March to 2012 July, 102 cases of lumbar on we are attracted to diagnosis of intervertebral disc herniation with severe low back pain patients after outside the hospital of prolapse of lumbar intervertebral disc resection after operation in patients with severe low back pain, lumbar spine three test: negative 96 cases, only 6 cases of lumbar spine of three test positive. In the lumbosacral spine, sacroiliac, iliac wing outside, thigh knee ankle of high sensitivity pressure point massage (strong stimulation test of lidocaine injection tenderness deep) after all signs of immediate relief, for these highly sensitive silver needle acupuncture tenderness area differentiation, one time per day for a district, 10 days for a course of treatment, the degree of pain relief were observed daily, not for treatment of lumbar intervertebral disc operation scar. In 6 cases of lumbar spine of three test positive, add t
