摘要
目的:探讨极外侧型腰椎间盘突出症的诊断与治疗方法。方法:回顾总结1998年—2006年共收治的10例极外侧椎间盘突出症患者的临床资料,提出其诊断与治疗中的注意点。结果:运用手术打开神经根管治疗极外侧椎间盘突出症,随访1～3年,术后神经根压迫症状明显改善,均能恢复正常的日常生活。结论:极外侧型椎间盘突出症常累及相应节段的上位神经根,临床体检与影像学不符时应高度怀疑本症,运用CT薄层扫描结合椎间盘造影和MRI检查可以确诊,保守治疗均不佳,均应尽早行手术治疗,以避免神经根产生不可逆病变。
Objective： To explore the diagnosis and treatment methods of extreme lateral lumbar disc herniation. Methods：From 1998 to 2006, a total of 10 patients with far lateral disc herniation were treated. The clinical data of those patients were ana lysed retropective. Results： The use of open surgery for a nerve root canal lateral disc herniation all patients were followed for 1 to years,after nerve root compression symptoms improved significantly, all patients could return to normal daily life. Conclusion： A lateral disc herniation often involving the corresponding segments of the upper nerve root, clinical and medical imaging to be inconsistent with the high degree of suspicion,the use of CT scanning with thindisc imaging and MRI examination can be confirmed, conservative treatment was not recommended, Patients with lateralelisc herniation should be treated by operation as soon as possible, to avoid the nerve root cause irreversible lesions.
出处
《中国临床医学》
北大核心
2008年第6期835-835,868,共2页
Chinese Journal of Clinical Medicine
