| 无椎间盘突出的腰骶神经根压迫症的临床分型与治疗 |
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Received:April 20, 2001
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| 期刊信息：《中国骨伤》2002年15卷，第3期，第146-147页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨无椎间盘突出的腰骶神经根压迫症的临床分型与诊治方法。
方法:对43例无椎间盘突出的腰骶神经根压迫症行椎板切除或椎间孔减压术。
结果:在43例手术患者中,随访33例,平均随访时间3年,其中32例下肢症状全部消失,1例残留下肢放射痛、足背伸力弱。
结论:无椎间盘突出的腰骶神经根压迫症原因复杂,有7种类型,分别为不合并椎间盘突出的神经根管狭窄症、神经根畸形、神经根节异位畸形、神经根鞘膜瘤、神经根囊肿、椎间静脉曲张畸形、椎间盘吸收综合征。 |
| [关键词]:腰骶部 椎间盘移位 外科手术 |
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| Clinical typing and treatment of sacral nerve root compression without lumbar disc protrusion |
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Abstract:
Objective:To investigate the clinical typing and treatment of sacral nerve root compression without lumbar disc protrusion
Methods:43 cases of sacral nerve root compression without lumbar disc protrusion were treated with laminectomy or decompression of the intervertebral foramen.
Results:33 cases had follow up of 3 years.Symptom in lower limbs of 32 cases disappeared after surgery.One case still had radiating pain of lower limbs and weakness in dorsiflexion of the foot.
Conclusion:The clinical typing and cause of sacral nerve root compression without lumbar disc protrusion are complicated and the condition can be divided into 7 types:nerve root canal stenosis,nerve root anomalies,ectopic deformity of the dorsal root ganglia,schwannoma,nerve root cyst,intervertebral varix anomalies,intevertebral and disc absorption syndrome.The symptoms of these conditions are similar to protrusion of interevertebral disc and are easily to be misdiagnosed as well as leading to mistakes in surgery.These cases should be treated according to their individual findings during surgery. |
| KEYWORDS:Lumbosacral region Intervertebral disk displacement Surgery,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 宋红星,刘淼,同志超.无椎间盘突出的腰骶神经根压迫症的临床分型与治疗[J].中国骨伤,2002,15(3):146~147 |
| 英文格式: | SONG Hongxing,LIU Miao,TONG Zhi chao.Clinical typing and treatment of sacral nerve root compression without lumbar disc protrusion[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(3):146~147 |
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