Sereni D
Département de médecine interne, hôpital Cochin, Paris.
Rev Prat. 1992 Mar 1;42(5):545-8.
Sciatica is diagnosed on purely clinical grounds. The initial clinical examination provides the main elements for an aetiological diagnosis. It makes it possible in certain cases to take urgent decisions: to prescribe imaging methods or specific treatments. When examining patients suffering from sciatica, the clinician must aim at gathering elements of answers to the following questions: Is the diagnosis of sciatica ascertained? Is it a common vertebral disc sciatica? Is surgery urgently required? What is the personal and medico-social context?
坐骨神经痛完全基于临床进行诊断。初始临床检查为病因诊断提供主要依据。在某些情况下,这使得能够做出紧急决策:开具影像学检查方法或特定治疗方案。在检查坐骨神经痛患者时,临床医生必须旨在收集针对以下问题的答案要素:坐骨神经痛的诊断是否确定?是否为常见的椎间盘性坐骨神经痛?是否急需手术?个人及医疗社会背景情况如何?