腰神经根管狭窄症21例临床分析  

STUDY ON NARROWING OF THE LUMBAR SPINAL NERVE ROOT CANAL

作　　者：申勇[1] 石奉文[1] 张惠民[1] 张标[1] 

机构地区：[1]河北医学院附属第三医院骨病科

出　　处：《河北医学院学报》1992年第2期93-95,共3页

摘　　要：对经手术治疗的21例腰神经根管狭窄症患者作了临床分析。持续性下腰痛、坐骨神经痛及间歇性跛行是其主要症状,但临床体征不明显。腰神经根管狭窄症多发生在腰_4及腰_5神经根管。腰椎的退行性变是其主要原因。脊髓造影对腰神经根管狭窄症的诊断是唯一较可靠的方法。CT扫描对诊断有一定的参考价值。对于腰神经根管狭窄症的治疗应以手术为主,使神经根管彻底的减压。Clinical analysis of 21 cases operatively proved narrowing of the lumbar spinal nerve root canal was made. Low back pain, sciatica and intermittent claudication were the main symptoms, but clinical signs were unremarkable. The most frequent findings occurred at L4 and L5. The authors emphasized that degeneration was the main etiological factor. Myelogram should be done to establish the diagnosis for these cases. Computed tomography scanning has a definitive value in the diagnosis of the narrowing of lumbar spinal nerve root canal. Surgical decompression may be the first choice to treat the disease.

关 键 词：腰椎管狭窄 坐骨神经痛 

分 类 号：R681.570.5[医药卫生—骨科学]