摘要
腰椎间盘突出症是腰腿痛的常见原发病,病因与临床表现复杂多变,疾病个体化特征显著,正确及时的疾病诊断是个体化有效治疗的前提。研究证实,神经系统症状体征具有较高的特异性与敏感性,对疾病诊断具有重要的临床意义,但存在多变性。该文系统分析了特异性的临床表现、选择性的体格检查和影像学检查等的临床诊断价值,提出系统综合运用以上要素是该病正确及时诊断的一般程序与方法。
Lumbar intervertebral disc herniation（LIDH） is one of the most common causes of lumbocrural pain with its uncertain causes,varied clinical manifestations and featuring on each individual case. Effective individualized therapy scheme depends on the correct and timely diagnosis of this disease. Many evidence indicated that the nervous symptoms and signs have higher specificity and sensitivity,has great significance to the diagnosis of LIDH but usually has polytropy among different patients or different period and conditioning of the same patient to some degree. This article systematically reviewed and analyzed the diagnostic value of specific symptoms and signs,selected physical and photographical examination methods of LIDH,and proposed that LIDH can be accurately and timely evaluated by using these diagnostic factors and ways comprehensively and systematically,this will be the helpful ideas and program to the diagnosis of this disease.
出处
《中国骨伤》
CAS
2012年第2期147-151,共5页
China Journal of Orthopaedics and Traumatology
基金
上海市科学技术委员会医学重点项目(编号:09411953400)
上海市科学技术委员会科研项目(编号:09dz1973800)
"中医骨伤科学"国家重点学科项目(编号:100508)
上海市浦东新区卫生局卫生科技发展专项基金(编号:PW2010D-7)~~
关键词
腰椎
椎间盘移位
临床方案
诊断
Lumbar vertebrae
Intervertebral disk displacement
Clinical protocols
Diagnosis
