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[直腿抬高试验的阳性表现及强度与腰椎间盘突出部位的关系]

[Presence and intensity of the Lasegue sign in relation to the site of lumbar intervertebral disc herniation].

作者信息

Łebkowski Wojciech J

机构信息

Klinika Neurochirurgii, Akademia Medyczna w Białymstoku.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2002;67(3):265-8.

PMID:12238396
Abstract

The manouevre of stretching the sciatic nerve known as the Lasegue test is very useful in the clinical evaluation of patients with suspicion of lumbar disc herniation and has been in use for over 100 years. The relationship between the intensity of the Lasegue test and intraoperative localization of disc herniation is presented. The material comprised 87 cases (54 males and 33 females) aged 47 (+/- 9) years. Duration of symptoms was on average 9 months (+/- 7.5 months). The Lasegue sign was positive in 84 patients and negative in 3 patients (absent in 1 case, and more than 70 degrees in 2 cases). In the investigated group the Lasegue sign was positive at 39 degrees (+/- 22 degrees) on average. The obtained results indicate a strong relation between a positive Lasegue sign and disc herniation leading to direct spinal nerve or nerve sheath compression.

摘要

被称为直腿抬高试验的拉伸坐骨神经操作,在疑似腰椎间盘突出症患者的临床评估中非常有用,且已使用了100多年。本文介绍了直腿抬高试验强度与椎间盘突出症术中定位之间的关系。研究材料包括87例患者(54例男性和33例女性),年龄为47(±9)岁。症状持续时间平均为9个月(±7.5个月)。84例患者直腿抬高试验呈阳性,3例呈阴性(1例未引出,2例大于70度)。在研究组中,直腿抬高试验平均在39度(±22度)时呈阳性。所得结果表明,直腿抬高试验阳性与导致直接压迫脊神经或神经鞘的椎间盘突出症之间存在密切关系。

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