Fish D
Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Aust Fam Physician. 2001 Nov;30(11):1085,1089.
George is a 46 year old who, at work, develops back pain with right sided sciatica. Initial findings include an absent right ankle jerk with sensory loss in the distribution of the right S1 nerve root. MRI scan confirms the diagnosis of an L5-S1 disc herniation with pressure on the right S1 nerve root. Following referral to a neurosurgeon he undergoes microdiscectomy. He is now six weeks postoperative. The scar healed well. His sciatica and ankle jerk have improved. He is now considering returning to work.
乔治46岁,在工作时出现背痛并伴有右侧坐骨神经痛。初步检查发现右侧跟腱反射消失,右侧S1神经根分布区域感觉丧失。磁共振成像扫描确诊为L5 - S1椎间盘突出,压迫右侧S1神经根。转诊至神经外科医生处后,他接受了显微椎间盘切除术。现在他术后六周,手术切口愈合良好,坐骨神经痛和跟腱反射有所改善。他正在考虑重返工作岗位。