腰椎管狭窄症诊断新进展

被引:48
作者
蔡维山
鞠洪斌
郭东明
机构
[1] 广州医学院附属广州市第一人民医院脊柱外科
关键词
腰椎管; 狭窄; 诊断;
D O I
暂无
中图分类号
R681.5 [脊柱及背疾病];
学科分类号
100220 [骨科学];
摘要
间歇性跛行为是腰椎管狭窄症的主要特点,过度后伸、平躺或行走时加大腰椎前凸等均可诱发症状,身体前倾则可使症状缓解。MRI检查和电生理检查有助于腰椎管狭窄症的诊断,行走前和出现症状后立即行神经检查有助于找到神经受损的证据。通常腰椎疾病发展经历三步曲,即椎间盘源性疼痛、椎间盘突出和退行性变(椎管狭窄、脊柱不稳、退行性侧弯)。正确认识腰腿痛的临床症状和病理学特点,鉴别疼痛真正原因,有利于腰腿痛的诊治和患者生活质量的提高。该文就腰椎管狭窄症临床特点、发病机制及诊断作一综述。
引用
收藏
页码:177 / 178+186 +186
页数:3
相关论文
共 12 条
[1]
Surgical Results in Hidden Lumbar Spinal Stenosis Detected by Axial Loaded Computed Tomography and Magnetic Resonance Imaging: An Outcome Study[J] Jan Willén;Per J. Wessberg;Barbro Danielsson Spine 2008,
[2]
A Novel Technique of Intra-Spinous Process Injection of PMMA to Augment the Strength of an Inter-Spinous Process Device Such as the X STOP[J] Cary Idler;James F. Zucherman;Scott Yerby;Ken Y. Hsu;Matthew Hannibal;Dimitriy Kondrashov Spine 2008,
[3]
Pathomechanism of Loss of Elasticity and Hypertrophy of Lumbar Ligamentum Flavum in Elderly Patients With Lumbar Spinal Canal Stenosis[J] Hirofumi Kosaka;Koichi Sairyo;Ashok Biyani;Douglas Leaman;Richard Yeasting;Kosaku Higashino;Toshinori Sakai;Shinsuke Katoh;Toshiaki Sano;Vijay K. Goel;Natsuo Yasui Spine 2007,
[4]
Paget Disease of the Spine Manifested by Thoracic and Lumbar Epidural Lipomatosis: Magnetic Resonance Imaging Findings[J] Anastasia Oikonomou;Theodossios Birbilis;Eirini Gymnopoulou;Panos Prassopoulos Spine 2007,
[5]
High failure rate of the interspinous distraction device (X-Stop) for the treatment of lumbar spinal stenosis caused by degenerative spondylolisthesis[J] Olaf J. Verhoof;Johannes L. Bron;Frits H. Wapstra;Barend J. Royen European Spine Journal 2008,
[6]
The Electrodiagnosis of Cervical and Lumbosacral Radiculopathy[J] Bryan Tsao Neurologic Clinics 2007,
[7]
Spinal Canal Size and Clinical Symptoms Among Persons Diagnosed With Lumbar Spinal Stenosis[J] Michael E. Geisser;Andrew J. Haig;Henry C. Tong;Karen S. J. Yamakawa;Douglas J. Quint;Julian T. Hoff;Jennifer A. Miner;Vaishali V. Phalke The Clinical Journal of Pain 2007,
[8]
Clinical Classification of Patients With Lumbar Spinal Stenosis Based on Their Leg Pain Syndrome: Its Correlation With 2-Year Surgical Outcome[J] Kazuo Yamashita;Hiroyuki Aono;Ryoji Yamasaki Spine 2007,
[9]
Spinal Stenosis; Back Pain; or No Symptoms at All? A Masked Study Comparing Radiologic and Electrodiagnostic Diagnoses to the Clinical Impression[J] Andrew J. Haig;Henry C. Tong;Karen S. Yamakawa;Douglas J. Quint;Julian T. Hoff;Anthony Chiodo;Jennifer A. Miner;Vaishali R. Choksi;Michael E. Geisser;Christopher M. Parres Archives of Physical Medicine and Rehabilitation 2006,
[10]
Differential diagnostics in patients with mild lumbar spinal stenosis: the contributions and limits of various tests[J] B. Adamova;S. Vohanka;L. Dusek European Spine Journal 2003,