腰神经根嵌压征

LumbarSpinalNerveRootsTunnelSyndrome

作者收治腰神经根嵌压征３０例．由于该征与腰椎间盘突出症压迫神经根的部位及程度不同，筛选诊断用压力下硬膜外造影术，定位、定性诊断用ＣＴＥ检查，从腰椎的矢状面、额状面、横切面上观察椎间盘、硬膜囊、神经根及黄韧带等在中央椎管、侧隐窝及椎间孔的相互位置关系，使腰神经根嵌压征的定位、定性诊断临床符合率达９６％．认为：通过临床及影像学检查，将腰神经根嵌压征与椎间盘突出症区别开来，使其成为一个独立的疾患，对其进行有限化治疗研究及预后判断有重要意义．

Thirtycasesoflumbarspinalnerveroottunnelsyndromewerereviewed.Thecompres-sionofthenerverootsbythetunnelsyndromeisdifferentinlocationanddegreefromthatcausedbytheprotrudedlumbarintervertebraldisc,andforthescreeningdiagnosisofthiscondition.Theauthorshadusedepidurographyunderpressureaswelasqualitativediagnosismadebycomputerizedtomographyepidurography.Inthisway,theaccuracyoftheorientationalandqualitativediagnosisofthecompres-sionofnerverootscanbemadeashighasin96%,andtherelativepositionofthecentralspinalcanal,thelateralrecess,theduralsacs,thenerverootsandligamentumflavumcanbevisualizedinthesagit-tal,frontalandthetransverseplanes.Theauthorsbelievethat,lumbarspinalnerveroottunnelsvn-dromeisadiseaseentity,completelydiferentfromtheprotrudedlumbarintervertebraldisc.Carefuldiferentiationofthesetwoconditionsisimportant.Conservativetreatmentdidnotrelievethepatientssyndromeandalweretreatedwithextendeddecompressionforamenotomygivingsatisfactoryresults.