第三腰椎横突综合征下肢放射痛机制研究进展

Research Progress on the Mechanism of Lower Limb Radiative Pain in the Third Lumbar Vertebra Transverse Process Syndrome

第三腰椎横突综合征是腰腿痛的常见病因之一,可有下肢放射痛的临床表现。国内外目前有关第三腰椎横突综合征并发下肢放射痛的文章较少,且临床和文献中对下肢放射痛机制的解释较模糊。本文试图通过现有的国内外文献,从神经肌肉筋膜解剖生理关系、生物力学改变、疾病引起的相关病理过程及临床实证方面阐明第三腰椎横突综合征下肢放射痛的机制,为临床提供相关诊疗依据。

The third lumbar vertebra transverse process syndrome is one of the common causes of pain in lower extremities and waist,which can have clinical manifestations of lower limb radiative pain.At present,there are few articles about the third lumbar vertebra transverse process syndrome complicated with lower limb radiative pain at home and abroad,and the explanation of the mechanism of lower limb radiative pain in clinical and literature is vague.Based on the existing literature at home and abroad,this paper attempts to clarify the mechanism of lower extremity radiation pain of the third lumbar transverse process syndrome from the anatomical and physiological relationship of neuromuscular fascia,biomechanical changes,related pathological processes caused by diseases and clinical demonstration,so as to provide relevant clinical diagnosis and treatment basis.