腰椎间盘炎诊断与治疗  

Diagnosis and treatment of lumbar discitis

作　　者：张天宏[1] 彭刚[1] 敖竣[1] 陈东峰 

机构地区：[1]遵义医学院第一附院骨科 [2]广东省肇庆铁五局三处医院外科

出　　处：《遵义医学院学报》1997年第4期31-33,共3页Journal of Zunyi Medical University

摘　　要：对8例腰椎间盘炎病例的分析表明，本病临床症状比较模糊，体温通常不高，血象大多正常，以血沉增快和剧烈腰腿痛为主要特征，术后原有的腰腿痛明显减轻或消失，感染发生后，出现较术前更为剧烈的痉挛性腰腿痛，以上两特征在腰椎间盘突出症复发或神经很粘连者绝少发生，系鉴别要点。多数患者经保守治疗可治愈，少数保守治疗无效或神经受损加重者，应行病灶清除术。Eight patients with postoperative discitis were treated during the last 14years. The main clinical characters of the patients included severe lumbago andacceleration of ESR. The original -aching waist and legs of the patients easedobviously or disappeared after operaion. After infection, the patients suffered frommore severe spastic lurnbago when comparing with preoperation. Above charasters,soldom occurred in patients with relapse of prolapse of lumbar intervertebral disc oradhensions of spinal nerve roots, were the main differential points. Most of thepatients could be cared with conservative measures. Only in a few patients, whofailed to conservative treatments or became more severe in nerve injury, a curettageof discitis should be Performed.

关 键 词：椎间盘炎 腰椎 诊断 保守治疗 外科手术 

分 类 号：R681.53[医药卫生—骨科学]