下肢后扳试验对腰椎间盘病症诊断的意义  

Diagnostic and Prognostic Significance of Backward Pulling Test on Lower Limbs for Lumbar Discopathy

作　　者：胡斌清 刘跃斌 彭聪 盛任 

机构地区：[1]湖北省武汉市第九医院康复科,武汉430081

出　　处：《中国中医骨伤科杂志》2008年第8期4-5,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:通过具有特异性的下肢后扳试验检查,提高对腰椎间盘病症的判断。方法:随机选择620例腰椎间盘膨出或突出的患者,用下肢后扳试验受限、受抗,并与直腿抬高等试验做比较。结果:620例腰椎间盘膨出或突出的患者其下肢后扳试验阳性率达到88.6%,其阳性率明显高出其他试验阳性率,与其他检查试验阳性具有可比性(P<0.05)。结论:下肢后扳试验阳性,通过CT、MRI检查88.6%为腰椎间盘膨出或突出;此检查对合理选择及分析腰椎X线片、CT、MRT检查项目,判断病情等具有重要意义。Objective： To practice a specific backward pulling test on lower limbs in order to raise better judgements of lumbar discopathy.Methods： A total of 620 patients with lumbar intervertebral disc prolapse or bulging were randomly selected and the backward pulling test on lower limbs was used to test the limitation and resistance degree,and then compared with other tests,such as straight-leg raising test,etc.Results： Of all the patients,the positive rate of the backward pulling test was 88.6%,which was significantly higher than positive rates of other tests（P〈0.05）.Conclusion： Backward pulling test stands great importance for reasonable screening and analysis of X-ray,CT and MRI examination as well as for illness judgements.

关 键 词：腰椎间盘膨出 检查试验 下肢 病症 诊断 阳性率 腰椎X线片 直腿抬高 

分 类 号：R681.53[医药卫生—骨科学] R927.1[医药卫生—外科学]