目的：探讨对寰枢关节半脱位采用经筋手法结合改良小角度矢状位扳法与常规推拿疗法治疗的临床疗效观察，为临床治疗该病症提供参考。方法：对80例寰枢关节半脱位患者随机分组，观察两组的治愈率、好转率和治疗前后影像学寰齿间隙差值等指标，并统计结果。结果：治疗组治愈率为70.00%，对照组为42.50%，治疗组总有效率为97.472%，对照组为82.50%，两组经χ2检验差异有显著性；治疗前后影像学寰齿前间隙及齿状突侧间隙差值比较（P＜0.05），差异有统计学意义。结论：经筋手法结合改良小角度矢状位扳法治疗寰枢关节半脱位疗效优于常规推拿疗法，本法值得临床进一步推广。

This study was aimed to investigate the clinical effect of atlantoaxial subluxation with the combination of the muscle tendon manipulation and the modified small angle sagittal pull and conventional Tuina therapy. A total of 80 atlantoaxial subluxation cases were randomly divided into two groups. The cure rate, rate of improvement, imaging and Xray space difference between two groups were observed and analyzed statistically. The results showed that the cure rate was 70.00% in the treatment group, and 42.50% in the control group; the total efficiency rate was 97.472% in the treatment group, and 82.50% in the control group. There was significant difference between two groups by χ2 test. The image of atlanto odontoid anterior space and the side gap difference were significant before and after treatment (P < 0.05). It was concluded that treatment of atlantoaxial subluxation with the combination of the muscle tendon manipulation and the modified small angle sagittal pull achieved better effect compared to the conventional Tuina therapy. This method should be further promoted in the clinical practice.

广西卫计委壮瑶医研究与开发项目（GZZY13-15）：壮医经筋手法结合整脊手法对腰椎间盘突出症的疗效研究，负责人：何育风。