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患者,男,60岁,原有腰痛症状,经理疗后缓解。2月前出现左侧腰腿疼痛症状加剧,经理疗后症状无明显缓解,为求进一步诊治于2008年10月14日入我院镇痛科。专科检查:腰椎活动略受限,L4-S1左侧椎旁压痛(+)、扣击痛(+),并可向左下肢放射,垫胸试验可诱发腰部疼痛,垫腹试验可使左下肢疼痛减轻。辅助检查:腰椎CT见腰椎退变,L4～5椎间盘膨出,L_5～S_1椎间盘膨出伴左后轻度突出。诊断:腰椎间盘突出症。入院体检:T 37.2℃,P 82次/分,R 20次/分,BP 118/79mmHg,神志清,精神可,体检合作,心、
Patients, male, 60 years old, the original symptoms of low back pain, the manager remission after treatment. 2 months ago, the left waist and leg pain worsened, the symptoms after treatment without significant relief, in order to further diagnosis and treatment in October 14, 2008 into our hospital analgesic. Specialist examination: slightly limited lumbar activity, L4-S1 left paraspinal tenderness (+), buckling pain (+), and left lower extremity radiation, chest pad test can induce lumbar pain, abdomen test can make the left lower extremity Pain relief. Auxiliary examination: lumbar CT see lumbar degeneration, L4 ~ 5 disc bulging, L_5 ~ S l disc herniation with left slightly after the bulge. Diagnosis: lumbar disc herniation. Admission physical examination: T 37.2 ℃, P 82 beats / min, R 20 beats / min, BP 118 / 79mmHg, clear spirit, mental health, physical examination cooperation,