摘要
目的 了解游离型腰椎间盘突出症的诊断与治疗特点。方法选择椎间盘破裂并游离进入椎管内的17例病例,均伴有不同程度的马尾神经损伤症状,观察其临床表现,结合影像学检查,行手术治疗。结果17例患者均得到诊断,手术效果满意。随访1～9年,腰腿剧痛与马尾神经损伤症状基本消失。结论根据有慢性腰腿痛病史、再度外伤后症状加剧、强迫体位、直腿抬高<30°、屈颈试验阳性以及马尾神经损伤症状,再结合MRI或CT即可对该病作出确诊。并认为MRI是诊断该病的最佳影像学检查方法。治疗提倡早期手术,根据游离物在椎管内的位置选用对腰椎稳定性破坏低的术式。
To recognize the characteristics of diagnosis and treatment for free lumbar disc herniation, we analysed 17 cases clinical data. The results showed operative effects of 17 cases who have gained correct diagnosis were satisfactory. Conclusion: Disease can be diagnosed by the follows: Chronic history of lumbar and leg pain, serious symptoms of recurring trauma, compulsory position, straight leg raising test<30°, positive neck sign, symptoms of cauda equina nerve injury and MRI or CT and myelography examination. The Authors believe that MRI is the best method of imaging diagnosis, emphersize early operation and choose adaptive operation which may less destroy the stability of lumbar vertebral according to the position of free herniaton.
出处
《国际医药卫生导报》
2003年第04B期7-8,共2页
International Medicine and Health Guidance News
关键词
游离型
腰椎间盘突出症
诊断
手术
治疗
Free lumbar disc herniation Diagnosis Operative treatment.
