腰椎间盘突出症鉴别诊断的思路与方法

Ideas and methods of differential diagnosis of lumbar intervertebral disc herniation

疼痛是所有腰腿痛病例共同的临床症状,但疼痛的病因、病理、部位(范围或区域)、强度、性质、演变情况、影响因素与伴随症状等具有一定的特点与规律。这些差异既是特定疾病临床诊断的首要依据,也是鉴别诊断的重要线索。腰椎间盘突出症临床诊断的前提是一系列的排他诊断,掌握一些类症鉴别诊断的思路与方法,将有助于该病的诊断与鉴别。

Pain is common clinical symptoms of lumbocrural ,but the etiology ,pathology ,sites （range or area） ,intensity, nature, evolution situation and influence factors of pain has some certain characteristics and rules. These differences particu- larly were regarded as the primary and important basis or clues for the clinical diagnosis and differential diagnosis of related diseases. A series of exclusive diagnosis for similar symptoms is premise of diagnosis of lumbar intervertebral disc protrusion. Ideas and methods of differential diagnosis of lumbar intervertcbral disc herniation can help the diagnosis and identification.