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俯卧位屈膝推压小腿试验在腰腿痛诊断中的应用

Application of prone position pressing leg flexion test in the diagnosis of lumbocrural pain
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摘要 目的:探讨俯卧位屈膝推压小腿试验在腰椎间盘突出诊断中的意义。方法:对患者行俯卧位屈膝推压小腿试验、直腿抬高试验检查后,进行腰间盘CT检查,选取2项试验至少1项试验阳性并具备腰间盘CT影像突出征阳性病例作为研究对象,统计2项试验阳性病例各自占总病例数的百分率。结果:俯卧位屈膝推压小腿试验阳性病例所占百分率值较高。结论:俯卧位屈膝推压小腿试验不仅在高位腰椎间盘查体中发挥作用,在低位腰椎间盘突出诊断中也具有较高的阳性率,在低位腰椎间盘突出诊断中应作为常规查体方法使用。 Objective:To disscuss the value of prone knees pushing leg test unit before the pain in diagnosis of lumbar disc herniation.Methods:After the examination of prone knees pushing leg test and straight leg raising test,patients were given CT examination of lumbar intervertebral disc.We selected the cases that at least one test positive among the two test and also with positive lumbar disc CT image prominent sign as the research object,and then calculated the percentage of positive cases accounted for the total number of cases in each test.Results:Positive cases percentage of prone knees pushing leg test was higher.Conclusion:Prone knees pushing leg test not only can play a role in examination of high lumbar disc,but also has the high diagnosis positive rate in low lumbar disc herniation,so it can be used as a routine examination method in the diagnosis of lumbar disc herniation in low.
作者 陈海东
出处 《中国社区医师(医学专业)》 2014年第24期111-112,共2页
关键词 俯卧位屈膝推压小腿试验 股前牵拉痛 L4、L5神经根交通支 Prone knees pushing leg test Anterior femoral traction pain L4,L5 nerve root traffic branch
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