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腰椎间盘突出症2_图文

Lumbar intervertebral disc herniation

作者:王 井

Incidence of disease

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LDH is common and frequently encountered disease,is common reasons of pain in waist and lower extremities .
man 1.9一7.6%

Average rates 4.26% woman 2.2一5.0%

Pathogeny
? ? ? ?

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Trauma occupation pregnancy the hereditary and family factor congenital anomaly

LDH

Classify of LDH :

Clinical manifestation
Common Symptoms

? ? ? ? ? ? ?

Backache Lower limb radiation pain Limb Numb Body cold feeling。 Intermittent claudication Horsetail Nerve Symptom Muscular paralysis

Sign
1.Tread: the patient can appear a limp 2.Lumbar curvature change 3.Scoliosis 4.Pressing pain 5.Waist activities range 6.Lower limb muscle strength 7.Feels obstacle 8. Reflection change

X-ray&CT&MRI
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X-ray performance: narrowing of disc height. diagnosis meaning is bigger. patients for pain relief and long-term formation protection posture ,the lumbar spine bend to one side. Side a X-ray performance: lumbar physiological curvature straight; narrowing of disc height in different level; the vertebral bone hyperplasia. CT manifestations: CT directly display disc herniation change or calcified, performance for point-like, flake or irregular low density area, MRI performance:with MRI we can observe different degree of degenerative disc disease.

Antidiastole

1 Fiber tissue inflammation. 2 Lumbar small joint disorders 3 Lumbar spinal tuberculosis 4 Lumbar spinal tumor

Diagnosis
The typical cases of diagnosis, generally no difficult, especially in CT and MRI technology is widely application of today. (1) a detailed history. (2) careful and complete physical, and should include neurological examination. (3) the waist of general symptoms. (4) special signs. (5) the lumbar spine X-ray (6) CT scan and MRI

treatment
Nonoperative treatment:
Common methods : rest, promote nucleus pulposus back,eliminate the local reaction of edema.

Operative treatment:
? Common methods : chemical pulp nuclear dissolve; Classic posterior nucleus pulposus resection; ? Minimally invasive surgery: percutaneous lumbar intervertebral disc cut -sucking, For prolapse of lumbar intervertebral disc and have lumbar instability or degenerative spondylolisthesis , spine fixed is necessary

Thank you!


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