腰椎间盘突出症临床诊断体征研究

Value of clinical diagnonis for lumber disc heniation

目的 探讨临床诊断在腰椎间盘突出症诊断中的价值。方法 回顾 5 76例腰椎间盘突出症住院病历 ,将临床诊断与CT诊断比较。结果 出现频率最高的体征椎间隙压痛及直腿抬高试验阳性 ,此四项指标与CT检查队比能反映同一问题 (P <0 .0 5 ) ,确诊与误诊患者间的四项指标及检查均有显著差异 (P <0 .0 1) ,椎间隙压痛与CT的椎间隙定位吻合率高于X线与CT的吻合率 (P <0 .0 1) ,中央型与旁侧型的体征差异主要是直腿抬高试验 (P <0 .0 1)。结论 临床诊断是腰椎间盘突出症诊断及鉴别诊断中最重要的诊断方法 ,上述四项指标是诊断该病的主要临床诊断指标。

Objective:To study the value of clinical diagnosis in Iumde disc herniation (LDH).Methods:Retrospective study was conducted on the clinical diagnosis and the CT imaging diagnos- is in 576 patients with LDH. Results:The frequency of symptom weye higher in lumbodyma and sciatica, and the frequency of sign were interspinal tenderness and Lasegue sign. The reatire of the four targets and the CT imagimg disgnosis can reflect same problem (P<0.05).The differe Ce diagnostic cases and erroneous diagnosis is highly significfant (P<0.01), the rates of intervertebral location in interspnal tenderness and CT is higher than in X-ray and CT (P<0.0 1 ),There are difference between centric and aide type in Lasegue sign (P<0.01). Conclusion:Clinicsl diagnosis is the most importamt in diagnosis and diffrential diagnosis for LDH. As mentioned above, the four targets are the main target in diagnosis of LDH.