TCM Syndrome Type Lumbar Disc Prolapse With CT Image Correlation Studies

Lumbar disc disease is a common disease and frequently encountered disease in orthopedics, lumbocrural pain is the most common form of the original Because of. There are statistics show that the incidence of low back pain in light workers is 53%, heavy hair workers The disease rate was 64%; Suffer from low back pain is 35% for the development of intervertebral disc herniation. Have realized that most at the moment Points flank pain with sciatica caused by lumbar intervertebral disc protrusion. The disease occur among the Lord To focus on young adults, patients with pain, severe symptoms and cause patient’s life and work A great deal of influence.Objective:On patients with lumbar disc prolapse of traditional Chinese medicine, the measurement of intervertebral disc herniation accounted for the proportion of the vertebral canal and CT image the distribution of the indicators, on patients with lumbar disc disease common CT images of the distribution of correlation between TCM syndrome type and research, provides the guiding basis for the clinical thinking of diagnosis and treatment of traumatology.Methods:In December 2013 to December 2014 in kunming hospital orthopedic patients meet the diagnostic criteria of traditional Chinese medicine(TCM) and lumbar disc prolapse of lumbar intervertebral disk diagnostic criteria of each card type selected 150 cases included in the standard of traditional Chinese medicine research object, is divided into cold dampness lumbago, hot and humid low back pain, blood stasis, kidney empty lumbago lumbago four card type. According to epidemiological studies L3, L4, L4- L5, L5 S1 intervertebral disc are most three, choose the L3- S1 vertebral body four three intervertebral disc transmission pictures, X-ray tube and the human body according to the direction of the shots, sagittal axis vertical to the transverse scan disc, Measuring responsibility degree of intervertebral disc herniation, when the area of clinical symptoms and innervation and CT films highlighting one of the most obvious coincide with intervertebral disc, measurement of the intervertebral disc; When the area of clinical symptoms and innervation and CT films do not match the intervertebral disc is the most obvious, the clinical symptoms and innervation area based on the responsibility of intervertebral disc, and measurement of the intervertebral disc. Conclusion using SPSS17.0 statistical software for data analysis, it is concluded that TCM syndrome type and prominence to the relationship between the spinal canal stance.Results:Type 1, four certificate as follows: the proportion of patients in all patients account for 36.7% of the total number of cases in the observation of blood stasis syndrome(55/150); Cold dampness syndrome accounted for 25.3% of the observed total number of cases(38/150); Hot and humid card account for the observed total cases teach of 18.7%(28/150); Kidney deficiency syndrome accounted for 19.3% of the observed total number of cases(29/150).2, the type of blood stasis type of intervertebral disc herniation in the central type to highlight multiple(45/55), prominence is heavier, often more than 1/3 of the spinal canal diameter(41/55), the clinical onset of younger age, acute onset. Intervertebral disc herniation is given priority to with central type highlight sp(31/38), prominence is lighter and blood stasis type, less than 1/3 of spinal canal diameter of 47.4%(18/38), often accompanied by narrow intervertebral disc, vertebral body bone hyperplasia, proliferous hypertrophy, intervertebral joints have obvious chronic strain history, a longer duration. Syndrome type disc herniation with lateral highlight multiple(23/28), highlight to a lesser degree, most only disc bulging fiber ring, prominence is often less than 1/3 of spinal canal diameter(24/28), often accompanied by vertebral bone hyperplasia, intervertebral joints proliferous hypertrophy. The type of liver and kidney deficiency type of intervertebral disc herniation is given priority to with bulging disc annulus(28/29), the central type more prominent, prominence is often less than 1/3 of spinal canal diameter(28/29), most associated with stenosis of intervertebral disc, vertebral body bone hyperplasia, proliferous hypertrophy, instability of intervertebral joints.3,(1) blood stasis and dampness percentage was significantly higher in moderate sedation placeholder above syndrome and kidney Virtual type.(2) in the liver and kidney deficiency type xu Morse probability of nodules was obviously higher than that of the other three card type, followed by syndrome, again is blood stasis model, and finally to sp.(3) in the liver and kidney deficiency type by bone prominent probability is significantly higher than the other three card type.(4) and blood stasis type is given priority to with hernia, liver and kidney deficiency type and syndrome is given priority to with prominent, free of nucleus pulposus of spinal canal and Withers Shrinkage or scarring is relatively rare in clinical.(5) and blood stasis type found in arc, smooth edges of protrusions, liver and kidney deficiency type rare in the projection edge is smooth, sp and syndrome in prominence to the shape of the distribution was not significant.(6)and blood stasis type of herniation of nucleus pulposus density is less than 80, liver and kidney deficiency type of herniation of nucleus pulposus density more than 100.(7)All landowners in sagittal highlight the size of each card type distribution is relatively well-balanced in three levels.(8)Today frontal shape a prominent size is rare in region d, blood stasis in b area prominent more, four kinds of syndrome types in a zone Distribution is symmetrical; Level outstanding 4 areas for the lateral type, within the exclusion criteria.(9)Pet-name ruby and blood stasis type of nerve root compression is relatively rare, liver and kidney deficiency type of nerve root adhesion are common, sp, syndrome and liver and kidney deficiency type of nerve root is clingy are comparatively rare.(10)Attending gaps previously oppression fat in liver and kidney deficiency type decrescent, gaps previously oppression fat in blood stasis type Disappear, four kinds of syndrome types of oppression catheter displacement are relatively rare.Conclusion:1, the different TCM syndrome types in patients with lumbar disc prolapse the CT imaging index has certain differences, and TCM syndrome type and CT imaging indicators have certain contact.2, blood stasis and dampness percentage was significantly higher in moderate sedation placeholder above syndrome and liver and kidney deficiency type.3,four kinds of TCM syndrome types, lumbar intervertebral disc protrusion in xu Morse nodules, pathological type, amount of herniated a prominent size, horizontal size, compression of the dural sac mode of significant differences; The indicators of the CT image is lumbar intervertebral disc protrusion on of traditional Chinese medicine has the certain reference value.