法捷兹坦(Fajerztain)氏征在腰椎间盘突出症手术中的意义

The clinical senes of Fajerztain test in surgery prolapsed of lumbar intervertebral disc

目的 探讨法捷兹坦 (Fajerztain)氏征即间接直腿抬高试验阳性征在腰椎间盘突出症手术中可能出现的病理情况。方法 对 35例有此征阳性的腰椎间盘突出症病人进行后路手术观察。结果 “腋下型”腰椎间盘突出 2 3例 ,“中央型”8例 ,“肩上型”1例 ,“前侧型”3例 ;膨出型 2例 ,突出型 2 7例 ,脱出型 6例 ;神经根与周围组织明显粘连 18例 ,侧隐窝狭窄 13例 ,神经根管狭窄 5例。结论 腰椎间盘突出症之法捷兹坦 (Fajerztain)氏征阳性可能出现的病理情况为 :(1)“腋下型”或“中央型”腰椎间盘突出 ;(2 )突出间盘巨大 ;(3)伴有神经根与周围组织明显粘连 ;(4)伴有侧隐窝或神经根管狭窄。对其进行评估 。

Objective To detect the pathohistological condition which may arise in the surgical treament of prolapsed lumbar intervertebral disc with positive Fajerztain test(indirect straight leg rising test) Methods There were 35 patients who had lumber prolapsed in tervertebral disc with positive sign during the Fajerztain test;they were observed by surgical treament from posterior approach Results The restlts showed that 23 cases were under the axilla type;8 cases were medial type;1 case was on the shoulder type;3 cases were front type;2 cases were slight prolapsed type;27 cases were prolapsed type;6 cases were serious prolapsed type 18 cases showed that the nerve root adhesions with the tissue around it,13 cases showed that the lateral recess stenosis and 5 cases showed the nerve root canals were narrow Conclusion The pathohistological condition which may arise in the surgical treament of prolapsed lumbar intervertebral with positive Fajerztain test are:(1)Lumbar prolapsed intervertabral of under the axilla type or medical type (2)Huge protruded type (3)Nerve root adhesions with the tissue around it (4)Nerve root canals or lateral recess were narrow It is important to evaluate before operation