腰痛症の統計的観察 : 第1編 腰痛症例に関する一般的統計的観察
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Part I Statistical Survey of the Cases of Low Back Pain Statistical survey was made of 1,533 cases of low back pain of various origins which were treated or examined in the past two and a half years. The survey was based on the investigation of the following items: the ratio of the cases of low back pain to all the cases that were seen at our clinic, age and profession of the patients, symptoms associated with the first attack of pain and subsequent transition of the pain, variations in pain by posture, the location of pain, various local expressions referring to pain, trauma in the loins and other matters. A close study has shown that each pain tends to have a characteristic propensity. Part II Statistical Survey of Main Diseases Responsible for Low Back Pain and Reflection on Their Treatment (Particularly Medical Treatment) The cases of low back pain were divided into four groups chiefly according to its anatomical location, and a further detailed statistical study was carried out on the items mentioned in Part I in each of the main diseases causing low back pain. In 37.6 per cent of all the cases under study, the cause of low back pain still remains undetermined, in spite of this exhaustive study. Results of treatment of these cases, as one might expect, were the worst of all the groups, the pain recurring in 50.9 per cent of them following remission. The author feels that it behooves us to do our best to clarify various factors involved in the pain recurring in these patients. An attempt was made to evaluate Knowles' operation in the treatment of low back pain. If this operation were performed on cases of herniation of the intervertebral disc with symptoms centering on the intervertebral space after careful screening of patients, it would be of great value as a method of what we call support operation. Survey on incidence of recurrence shows that, whereas recurrence occurred in only 5.6 per cent of the cases treated with surgery, there was recurrence in 27.0 per cent of the cases that received medical treatment. Any patients, who have been found to have indication for operation on careful examination, should be operated on without hesitation.
- 千葉大学の論文
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