神经根性症状的多变性与腰椎间盘突出症的定位诊断
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作者Author单位AddressE-Mail
黄仕荣 HUANG Shi-rong 上海中医药大学附属曙光医院骨伤科,上海200021 Department of Orthopaedics &
Traumatology,the Affiliated Shuguang Hospital of Shanghai University of TCM,Shanghai 200021,China
huangshirong3268@sina.com 
石印玉 SHI Yin-yu 上海中医药大学附属曙光医院骨伤科,上海200021 Department of Orthopaedics &
Traumatology,the Affiliated Shuguang Hospital of Shanghai University of TCM,Shanghai 200021,China
 
詹红生 ZHAN Hong-sheng 上海中医药大学附属曙光医院骨伤科,上海200021 Department of Orthopaedics &
Traumatology,the Affiliated Shuguang Hospital of Shanghai University of TCM,Shanghai 200021,China
 
期刊信息:《中国骨伤》2007年,第20卷,第10期,第684-686页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:上海市重点学科建设项目(编号:T0303)
中文摘要:大量的证据表明,临床症状体征对腰椎间盘突出症的定位诊断具有较高的特异度,但在不同患者间存在着较大的多变性,其灵敏度并不高。定位诊断的失误是导致临床治疗尤其是手术或介入治疗失败的重要原因。该文系统探讨了神经根性症状的多变性及其与腰椎间盘突出症定位诊断的相关问题,提出多方法联合运用是提高腰椎间盘突出症临床定位准确性的可行途径。
【关键词】椎间盘移位  定位诊断  神经根性症状
 
Polytropy of radiculopathy symptom and the level diagnosis of lumbar intervertebral disc herniation
ABSTRACT  Many evidence indicated that the clinical symptom and sign had high specificity for the level diagnosis of lumbar intervertebral disc herniation(LIDH).Sensitivity is lower because of polytropy of clinical symptom and sign among different patients.Wrong level diagnosis is the main cause result in operative and interventional therapy failure.This article systematically reviewed the polytropy of radiculopathy symptom and the level diagnosis of LIDH.It indicated that using different ways may be feasiblely effective technique for the level diagnosis of LIDH.
KEY WORDS  Intervertebral disk displacement  Level diagnosis  Radiculopathy symptom
 
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中文格式:黄仕荣,石印玉,詹红生.神经根性症状的多变性与腰椎间盘突出症的定位诊断[J].中国骨伤,2007,20(10):684~686
英文格式:HUANG Shi-rong,SHI Yin-yu,ZHAN Hong-sheng.Polytropy of radiculopathy symptom and the level diagnosis of lumbar intervertebral disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(10):684~686
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