论文部分内容阅读
1病例报告例1患者男,64岁。因腰背及右下肢疼痛、麻木加重2天就诊。既往有腰部酸胀不适病史。2天前无明显诱因加重,以右腰背及右下肢后侧疼痛为主,并有麻木感,呈持续性,不伴有发热。查体:脊柱生理弯曲存在,活动可,下位腰椎右旁压痛阳性,右下肢直腿抬高试验阳性,右踝腱反射减弱,CT检查示腰4、腰5、骶1椎间盘变性后突。诊断为腰椎间盘突出症。行腰部按摩、理疗及相关药物治疗效果不明显。3天后腰背右侧陆续
1 case report 1 patient male, 64 years old. Due to lower back and lower extremity pain, numbness increased 2 days treatment. Previous history of soreness and discomfort in the waist. 2 days ago, no obvious incentive to increase, to the right lower back and right lower back pain, and numbness, was persistent, not accompanied by fever. Physical examination: there is physiological curvature of the spine, the right lower lumbar lateral tenderness positive, lower right leg straight leg raising test was positive, right ankle tendon reflex, CT showed lumbar 4, lumbar 5, sacral 1 disc degeneration. Diagnosis of lumbar disc herniation. Line waist massage, physical therapy and related drug treatment effect is not obvious. 3 days after the waist back one after another