非腰椎间盘源性的神经根痛10例分析  

Non-disc protrusion causes radiculopathy

作　　者：王宵光[1] 丁海[1] 

机构地区：[1]蚌埠医学院附属医院,安徽蚌埠233004

出　　处：《实用骨科杂志》2004年第1期11-12,共2页Journal of Practical Orthopaedics

摘　　要：目的　探讨非腰椎间盘源性神经根痛的正确诊断。方法　回顾 1 0例非腰椎间盘源性神经根痛病例 ,结合术前CT、MRI及其他辅助检查 ,分析临床特点 ,诊断线索。结果　 1 0例中后腹膜肿瘤 6例 ,骨盆内肿瘤 4例。年龄 55～ 63岁 ,平均 (59± 4)岁。因腰椎CT或MRI提示程度不等的间盘膨出或 /和突出而手术 ,平均术后症状缓解时间为(3 .5± 1 .5)个月 ,平均最终确诊时间 (8± 2 .5)个月 ,平均随访时间 (1 5± 3 .5)个月 ,死亡 5例。结论　老年人的腰腿痛要警惕非腰椎间盘源性病因 ,尤其有夜痛。Objective To explore correct diagnosis of non-disc protrusion causes radiculopathy.Methods 10 cases of non-disc protrusion causes radiculopathy were reviewed retrospectivily,and analysed their clinical features and diagnosis clue by means of CT?MRI and other assistant measures.Results 6 of 10 cases were proved retroperitoneal tumor,and 4 of 10 cases were pelvis tumor.Their ages vary from 55 to 63 yesrs old,and were operated as a result of their lumbar CT or MRI showing some extant disc protrusion.Their symptoms got various alleviated during (3.5±1.5) months,and correct diagnosis were done till (8±2.5) months later.5 cases were died in (15±3.5) months follow-in duration.Conclusion It is considered that non-disc protrusion causes radiculopathy occur in geriatric patients,especially the pain felt dominant in night or had tumor history.

关 键 词：非腰椎间盘源性神经根痛 诊断 腰椎管探查减压术 腰椎间盘膨出 

分 类 号：R681.5[医药卫生—骨科学]