| 腰椎间盘突出症从痛论诊 |
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Received:April 23, 2013
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| 作者 | Author | 单位 | Unit | 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 & 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 & 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 & Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, Shanghai 200021, China |
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| 期刊信息：《中国骨伤》2013年26卷，第12期，第1041-1047页 |
| DOI：10.3969/j.issn.1003-0034.2013.12.017 |
| 基金项目:海派中医流派传承研究基地（编号：ZYSNXD-CC-HPGC-JD-001）；中医骨伤科学国家重点学科（编号：100508）；上海领军人才项目（编号：041）；上海市科学技术委员会重点项目（编号：09dZ1973800）；上海市科学技术委员会医学重点项目（编号：09411953400）；上海市浦东新区卫生局卫生科技重点协作项目（编号：PW2010D-7） |
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| 腰椎间盘突出症临床症状与体征复杂多变，腰腿痛是其最具特征性的临床症状，表现在疼痛的部位（范围或区域）、强度、性质、演变情况、影响因素与伴随症状等具有一定的特点与规律，临床上可将其总结归纳为皮节痛、运动痛、动态变化痛和病变节段椎旁深压痛.这些疼痛特点与规律成为该病临床诊断的主要依据，也是该文“从痛论诊”的核心内容. |
| [关键词]:腰椎 椎间盘移位 腰腿痛 诊断 |
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| Clinical significance of specific lumbocrural pain for the diagnosis of lumbar intervertebral disc herniation |
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| Abstract:Lumbar intervertebral disc herniation clinical symptoms and signs are very complicated,lumbocrural pain is the most characteristic clinical symptoms,and show the site (range or area),intensity,nature,evolution,influence factors and adjoint symptoms and so on has certain characteristics and rules. Among them,the dermatomal pain,kinesthetic dysesthesia,dynamic changing pain and lesions segment vertebral side deep tenderness are the most impotent characteristics and rules of pain,therefore,can be regarded as the main basis of clinical diagnosis of the disease,and also the core content of this article. |
| KEYWORDS:Lumbar vertebrae Intervertebral disk displacement Lumbago-leg pain 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.腰椎间盘突出症从痛论诊[J].中国骨伤,2013,26(12):1041~1047 |
| 英文格式: | HUANG Shi-rong,SHI Yin-yu,ZHAN Hong-sheng.Clinical significance of specific lumbocrural pain for the diagnosis of lumbar intervertebral disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(12):1041~1047 |
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