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目的 对腰椎间盘突出症病人，依据ＣＴ 分型诊断，分别选择最佳治疗方案，提高治疗效果； 方法 对３０６ 例临床诊断为腰椎间盘突出症病人， 常规进行ＣＴ 检查，按ＣＴ图像特征进行分型，应用各个治疗方案对每型病人进行系统治疗，观察各型的治疗效果，进行分析比较；结果 腰椎间盘突出症ＣＴ分型及治疗情况，（１） 简单光滑型１２７ 例，牵引、推拿、休息等治愈率为７３ ．３％ 。（２） 破裂粗糙型１３９ 例， 采用硬膜外注射类固醇，效果优良率占８５ ．５％ 。（３） 复合混变型４０例，其中３７ 例最终手术才治愈；结论 腰椎间盘突出病人可进行ＣＴ分型，并据不同分型分别选择相应的治疗措施，有利于提高治疗效果，减少医患的盲目性，具有推广价值。
Objective To diagnose patients with lumbar disc herniation according to CT classification and choose the best treatment plan to improve the curative effect.Methods 306 patients with lumbar disc herniation were diagnosed by routine CT examination and classified according to CT image characteristics , The application of various treatment programs for each type of patients with systemic treatment, observation of various types of treatment, analysis and comparison; results of lumbar disc herniation CT classification and treatment, (1) simple and smooth 127 cases of traction, massage, rest The cure rate was 73. 3%. (2) Rough 139 cases were ruptured, with epidural steroid injection, the effective rate was 85%. 5%. (3) Forty cases of composite mixed type were changed, among them, 37 cases were cured by final operation. Conclusion CT typing can be performed in patients with lumbar disc herniation, and the corresponding treatment options are selected according to different types, which is beneficial to improve the therapeutic effect and reduce the patients’ Blindness, with promotional value.