Lumbar Puncture Injection in the Lumbar Never Syndrome of 200 Cases with Posterior Branch of Lumbar Never Syndrome
Yan Daoming
Abstract
Yan Daoming
Abstract
Objective To search for new lumbar puncture approach for lumbar-leg pain caused by card presses from posterior branch of lumbar never.Methods By the entopic X-Ray films CT film of lumbar vertebrae,we surveyed the intersection of the upper limb line and the outer line of the superior articular processes of the vertebrae body a,and the intersection of the upper limb line with the vertical line of spinous processb,then the bottom point of spinous is calledc.The length fromatob,both actual distance of depart by processus spinous,can be derived by equal proportion conversion,by the same way we can derived the length of b-c.Results Take aas the transpedicular entry point,when the 7th acupuncture needle,10cm long,reached the bone ligament,that is the case of apoint,pass through and the needle reached foraminal.400 cases of the patients were randomly divided into group A and B,group A punctured by new approach,group B punctured by lumbar epidural puncture,and two group were injected the same pain compound liquid.Then we compared the thera-peutic effect and the side effect of the two groups,and the therapeutic effect of the two groups have remarkable significance(P0.05).The in-cidence rates of side effects in the above two group were significantly differen(tP0.05).Conclusion Lumbar vertebrae needle approach let the drug effectively concentrated in the part of the damaged nerve.
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Objective To search for new lumbar puncture approach for lumbar-leg pain caused by card presses from posterior branch of lumbar never.Methods By the entopic X-Ray films CT film of lumbar vertebrae,we surveyed the intersection of the upper limb line and the outer line of the superior articular processes of the vertebrae body a,and the intersection of the upper limb line with the vertical line of spinous processb,then the bottom point of spinous is calledc.The length fromatob,both actual distance of depart by processus spinous,can be derived by equal proportion conversion,by the same way we can derived the length of b-c.Results Take aas the transpedicular entry point,when the 7th acupuncture needle,10cm long,reached the bone ligament,that is the case of apoint,pass through and the needle reached foraminal.400 cases of the patients were randomly divided into group A and B,group A punctured by new approach,group B punctured by lumbar epidural puncture,and two group were injected the same pain compound liquid.Then we compared the thera-peutic effect and the side effect of the two groups,and the therapeutic effect of the two groups have remarkable significance(P0.05).The in-cidence rates of side effects in the above two group were significantly differen(tP0.05).Conclusion Lumbar vertebrae needle approach let the drug effectively concentrated in the part of the damaged nerve.
Key concepts: Medicine, Lumbar, Anatomy, Lumbar puncture, Lumbar vertebrae, Acupuncture, Surgery, Internal medicine