Injection needle-knife treatment of 86 cases of third lumbar transverse process

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To compare the treatment of lumbar injection needle-knife and the closure of three transverse process syndrome, on the injection needle-knife treatment of 86 cases and closed 78 cases treated observation of two groups were compared. The results, three injection needle-knife treatment of lumbar transverse process syndrome, there is always more efficient than the closed group. show that the injection needle-knife is a simple and safe and effective method of treatment of third lumbar transverse process syndrome, worthy to be popularized.
[Keywords:] injection needle-knife, closed treatment of third lumbar transverse process syndrome

3 lumbar transverse process syndrome of low back pain is a common disease, many conservative treatment methods. From the clinical orthopedic perspective, the treatment of this disease drug of choice for closed (especially the acute phase, followed by massage, physical therapy, medication and other non-surgical treatment . In order to observe the effect of injection needle-knife therapy, clinical case of group applications will be injected with needle-knife, the closure therapy for treatment, the report is summarized as follows.

1 Clinical data
1.1 General Information
The group of 164 patients, male 96 cases, female 68 cases, aged 25 to 56 years, the shortest duration of 2 months, up to 5 years. A history of trauma in 44 cases, 98 cases of chronic fatigue, no obvious incentive to 22 cases, clinical symptoms are in the middle of unilateral or bilateral lumbar pain as the main performance.

1.2 The diagnosis is based on [1]
1 has the history of history of trauma or chronic strain, 2 back pain or radiation to the buttocks, bending difficult or can not be sedentary for a long time established, 3 the DepArtment of third lumbar vertebra there was tenderness, 4X lines show the tip of third lumbar transverse process, or change the density increases white, 3 or L4 lumbar spinous process skew, Articular asymmetry.

1.3 Treatment
Treatment group: 86 patients in the exacerbation or remission can be treated by injection needle-knife, in the third lumbar transverse process fixed-point tip shop towels after routine disinfection, the use of injection needle-knife, knife-edge line and parallel to the longitudinal axis of the body piercing, when access to the bone surface, it will be adjusted to move transverse knife tip, ring cutting the tip of third lumbar vertebra 3 or 4 knives, knife and then moved to third lumbar transverse process by adjusting transverse peel method, feeling the muscle and bone After loosening between the tip and then a knife, with cotton to stop bleeding, posted outside the Band-Aid. The group, all patients treated for every 1 10d were treated 2 times. the control group: 78 patients in the exacerbation or remission can be closed by treatment, surface point with the injection needle-knife treatment group, conventional disinfection with 2% lidocaine 5mL, 0.9% NS 5mL mixture plus triamcinolone acetonide 25mg 10mL, third lumbar transverse process into the pArtial closure of the tip-line treatment. The treatment group 1 week in all cases were treated 2 times.

1.4 determine the efficacy of the standard [2]
Recovery: Symptoms and signs completely disappeared, improvement: some of the symptoms and signs disappeared, is invalid: no change in symptoms and signs.

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1.5 Treatment Results
Treatment group, 86 cases were 2 treatment, which cured 70 cases, accounting for 82.1%, improved in 12 cases, accounting for 14.3%, and 3 cases, accounting for 3.6%. .6 Efficiency 96.4% followed up for 2 months after the patients relapsed, after the 1 recovered after treatment. 78 patients in control group were 2 treatment, which cured 30 cases, accounting for 38.5%, improvement in 36 cases, 46.1%, 12 cases, accounting for 15.3%. 84.6% efficient, 6 months after 5 patients were followed up for recurrence after treatment by injection needle-knife recovered after 1.

2 Discussion
Third lumbar transverse process syndrome is a Chinese medicine "Arthralgia" category, as "blood stasis" or "wind damp" due to, the use of massage, acupuncture, herbal medicine for external use methods such as oral treatment, the course of a long, slow effect, easy to relapse. Western main reason is that the incidence of the disease part of third lumbar transverse process of the formation of aseptic inflammation, trauma or strain injury induced pain, and closed treatment can play a role in anti-inflammatory analgesic, although its rapid onset, but easy to recur. In recent years, the pathology of the disease Acupotomology for a new exploration and understanding.

Acupotomology based on the theory of chronic soft tissue injury that the injured third lumbar transverse process, causing adhesions, scarring and contracture, resulting in transverse tip dynamic balance disorders, the clinical symptoms resulting in the acute attack, oozing lesions with edema, stimulate nerve endings, so that the clinical manifestations increased. based on the theory of injury in third lumbar transverse process, mainly in the end of third lumbar transverse process, adhesion with a knife to loosen, scrape scar, so that the end of the third lumbar transverse process dynamic equilibrium is restored [3]. the king of a small knife used in Beijing and other third lumbar transverse process syndrome treated excellent rate of 89.32% [4] .

We injected a small knife to knife, knife cutting both the exercise, the role of adhesion release, but also one-time injection of the anti-inflammatory drugs lesions, can effectively eliminate the inflammatory response, with a spasm and pain relief, anti- fibrous tissue proliferation, promote blood circulation, improve metabolism, blocking the inflammation of nerve endings arc vicious cycle of pain, the role of a small knife and closed combined, 1 completed, get a better effect, and the operation simple, for your reference in clinical application and validation.

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