摘要
作者采用Ａｍｉｐａｇｕｅ或Ｏｍｎｉｐａｇｎｅ行下腰椎管造影，发现２８例（５．８％）与其他疾病共存的腰骶神经根变异病例，并将其分为３型。Ⅰ型：根起点位移。Ⅱ型：ａ。同根单孔；ｂ．同根双孔；ｃ。同根多孔。Ⅲ型：双根同孔。所有病例均由术中证实，并经相应处理，治疗优良率达９２．８％。作者认为：通常腰骶神经根变异无症状，当受构成腰骶椎管组织结构退行性改变的侵害时除可发生典型根性痛外，亦无自身特征性表现，不易确诊。应用脊髓碘水造影则有助于识别和指导治疗。
AbstractAltogether 480 patients were examined with myelography in the study from 1987 to 1992 and 28 caseshaving anomalous lumbosacral nerve roots with otherconcomitant diseases were found.The anomalies wereclassified three types based on myelographic findings。Type 1, root sleeve displacement;Type 2,a, rootsthrough one foramen;b,roots through two foramina;c, roots through three foramina; Type 3, double rootsthrough one foramen。 All patients were proved andtreated during operation. The results of treatmentwere good(92.8%).We considered that most lumbosacral nerve roots anomalies were asymptomatic。however,when they were compressed by degenerativecanal tissue,classic nerve root pain appcared eventually.Myelography is helpful to its diagnosis and treat ment.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第7期407-409,T071,共4页
Chinese Journal of Surgery
