摘要
目的：提出腰椎间盘突出症的新的分型方案。方法：搜集行ＣＴ扫描的无外伤史慢性腰腿痛患者２６７例。常规扫描Ｌ３～Ｓ１三个椎间盘，每个间隙扫描４个层面。结果：我们以椎间孔为主要参照点提出新的分型方案，将腰椎间盘突出症分为：①正中型②椎间孔型③孔内侧型④孔外侧型⑤椎体型⑥混合型。其中，椎间孔型可引起根性压迫症状，孔内侧型具备根性髓性双重压迫表现。椎体型包括Ｓｃｈｍｏ－ｒｌ结节和椎体边缘疝，两者有相同的病理基础，但前者一般无症状，后者若发生在椎体后缘可引起局部压迫。本文还提出椎间盘脱出是突出的继续发展；应明确区分。结论：以局部解剖结构做为间盘突出方位的命名，能直接提示由此产生的各种症状。
Objective:To propose the new typing idea of lumbar discs herniation.Methods:267 cases which have the chronic pain in the loins and legs without certain injury were collected by CT Scanning.Routine Scanning with three lumbar discs are from L 3 to S 1 with four layers counters every interval.Results:We advanced the new typing idea that refer to the chief point centreing on the intervertebral foramen.The type of lumbar disc herniation was divided ①central②forminal③foramen medial④foramen lateral⑤vertebralbody⑥mixed.The type of forminal leads to the symptom of lumbales constricted.Then the foramen medials always result in the symptom of dura mater capsules in addition.The type of vertebral body including schmore node and edge hernia has the same pathdogical base.Between them,the edge hernia would cause the local constriction when it lies in the back fringe of vertebral body,but the former has no symptom usulaly.This artical suggests that the lumbar disc dislocation is the development since the herniation.It must be distingnished clearly.Conclusion:It could point out the relevant symptom flatly according to the naming on the basis of the relation between hermiation position and the local anatomical structure.And all of these would assist the cure and the judging of prognosis.
出处
《河北医学》
CAS
1998年第6期19-21,共3页
Hebei Medicine
