| 腰椎间盘突出症临床诊断的思路与程序 |
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投稿时间：2011-09-11
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| 作者 | Author | 单位 | Address | E-Mail |
| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院骨伤科，上海市中医药研究院骨伤科研究所，上海 200021 |
Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Orthopaedics and Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, 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，上海市中医药研究院骨伤科研究所，上海 200021 |
Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Orthopaedics and Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, Shanghai 200021, China |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院骨伤科，上海市中医药研究院骨伤科研究所，上海 200021 |
Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Orthopaedics and Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, Shanghai 200021, China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第2期，第147-151页 |
| DOI：10.3969/j.issn.1003-0034.2012.02.016 |
| 基金项目:上海市科学技术委员会医学重点项目(编号：09411953400);上海市科学技术委员会科研项目(编号：09dz1973800);“中医骨伤科学”国家重点学科项目(编号：100508);上海市浦东新区卫生局卫生科技发展专项基金(编号：PW2010D-7) |
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| 中文摘要:腰椎间盘突出症是腰腿痛的常见原发病，病因与临床表现复杂多变，疾病个体化特征显著，正确及时的疾病诊断是个体化有效治疗的前提。研究证实，神经系统症状体征具有较高的特异性与敏感性，对疾病诊断具有重要的临床意义，但存在多变性。该文系统分析了特异性的临床表现、选择性的体格检查和影像学检查等的临床诊断价值，提出系统综合运用以上要素是该病正确及时诊断的一般程序与方法。 |
| 【关键词】腰椎 椎间盘移位 临床方案 诊断 |
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| Diagnostic ideas and programs of lumbar intervetebral disc herniation |
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| ABSTRACT Lumbar intervertebral disc herniation(LIDH) is one of the most common causes of lumbocrural pain with its uncertain causes,varied clinical manifestations and featuring on each individual case. Effective individualized therapy scheme depends on the correct and timely diagnosis of this disease. Many evidence indicated that the nervous symptoms and signs have higher specificity and sensitivity,has great significance to the diagnosis of LIDH but usually has polytropy among different patients or different period and conditioning of the same patient to some degree. This article systematically reviewed and analyzed the diagnostic value of specific symptoms and signs,selected physical and photographical examination methods of LIDH,and proposed that LIDH can be accurately and timely evaluated by using these diagnostic factors and ways comprehensively and systematically,this will be the helpful ideas and program to the diagnosis of this disease. |
| KEY WORDS Lumbar vertebrae Intervertebral disk displacement Clinical protocols Diagnosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 黄仕荣,石印玉,詹红生.腰椎间盘突出症临床诊断的思路与程序[J].中国骨伤,2012,25(2):147~151 |
| 英文格式: | HUANG Shi-rong,SHI Yin-yu,ZHAN Hong-sheng.Diagnostic ideas and programs of lumbar intervetebral disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(2):147~151 |
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