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一位51岁的男性病人,左侧腰腿疼痛两个月,虽经休息、治疗,却无好转,症状反而日渐加重,行走困难,夜不能寐,住进了医院。医生检查时发现,腰向左侧凸,下腰部偏左有压痛,左直腿抬高试验阳性,左小腿外侧皮肤感觉减弱,拇趾背伸肌力减弱。拍摄腰椎X光照片,报告腰椎骨质无异常,这些资料似乎都证明,病人患的是腰椎间盘突出症,引起了常见症状坐骨神经痛。坐骨神经是人体内最长的一根神经,起始部位于腰椎间盘附近,从腰椎侧方下行,经骨盆穿出,到达臀部,冉经大腿后,一直到达整个小腿及足部。它支配大腿后方及整个小腿和足部的肌肉运动,接受小腿和足部的感觉。由于退变老化或急慢性损伤,腰椎间盘向侧后方突出,压迫坐骨神经
A 51-year-old male patient, left waist and leg pain for two months, although the rest, treatment, but no improvement, the symptoms but increased, difficult to walk, sleepless nights, admitted to the hospital. Examination of the doctor found that the waist to the left convex, lower left partial tenderness, left straight leg raising test positive, left lower extremity skin weakened, toe back extensor weakness. Photographs of lumbar radiographs showing no abnormalities in the lumbar spine demonstrate that the patient is suffering from lumbar disc herniation and causes common symptoms of sciatica. The sciatic nerve is the longest nerve in the human body. The starting part is located near the lumbar disc. It goes down from the side of the lumbar spine and through the pelvis to reach the buttocks. After passing through the thighs, it reaches the entire lower leg and foot. It dominates the muscular movement behind the thigh and throughout the lower legs and feet, accepting calf and foot sensations. Due to degenerative aging or acute and chronic injury, lumbar disc herniation to the rear, oppression sciatic nerve