| 腰5～骶1椎间盘突出症症状、造影、MRI、CT及手术分析 |
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投稿时间：1994-09-24 修订日期：1995-03-26
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| 期刊信息：《中国骨伤》1996年，第9卷，第2期，第29-30页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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| 中文摘要:本文报道腰椎间盘突出症手术病例86例,其中L5～S129例(33.72%),仅次于L4～5.L5～S1根性疼痛较为严重,直腿抬高试验L5～S139.66°±18.46°、L4～549.90°±21.37°(p<0.0284);非离子水溶性造影剂脊髓造影、MRI、CT三项检查均有较好的诊断作用,符合率80.77～94.12%,彼此无显着性差异,但各具特点；手术所见不同间隙髓核突出的类型、程度有显着差异(P<0.013、<0.012),L5～S1趋向外侧、极外侧并以脱出偏多。作者认为特殊检查以造影首选,疑难者加作MRI或CT检查；手术探查尤其重视侧隐窝及神经根管。 |
| 【关键词】腰椎间盘突出症 腰5～骶1 |
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| Characteristics of protrusion of L5S1 intervertebral disc(An analysis of 86 cases with symptoms and signs, myelogram, MRI, CT scanning and operative findings) |
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| ABSTRACT Eighty six operated cases of protrusion of lumbar intervertebral disc were reported. Among them, 29 cases (33.72%)were L5S1 level,next to 14, 5. The results show that the lower back pain in L5S1 level is more severe; for Laseque’s sign, L5S1 level being 39.66°±18.46°;L4, 5, 49.90°±21.37°(P<0.0284). water soluble myelogram, MRI and CT scanning bear better diagnostic action though there were no difference statistically. But each examination bear their own benefit. There was significant difference between type and degree of two intervertebral dise space(P<0.013. P<0.012) being found in the operation. lateral or extreme lateral position were found more in cases in level L5S1.It is realized that myelogram is the first choice,MRI or CT scanning should be added in doubtful cases. Lateral recess and nerve root canal should be carefully explorated during operation. |
| KEY WORDS Protrusion of lumbar intervertebral disc L5S1 level |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 石维强,陆应隆,沈小勤.腰5～骶1椎间盘突出症症状、造影、MRI、CT及手术分析[J].中国骨伤,1996,9(2):29~30 |
| 英文格式: | .Characteristics of protrusion of L5S1 intervertebral disc(An analysis of 86 cases with symptoms and signs, myelogram, MRI, CT scanning and operative findings)[J].zhongguo gu shang / China J Orthop Trauma ,1996,9(2):29~30 |
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