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[背痛的鉴别诊断]

[Differential diagnosis of back pain].

作者信息

Reith W, Nabhan A, Kelm J, Naumann N, Ahlhelm F

机构信息

Klinik für diagnostische und interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, 66421 Homburg/Saar.

出版信息

Radiologe. 2006 Jun;46(6):443-53. doi: 10.1007/s00117-006-1383-6.

Abstract

Back pain is one of the most frequent clinical pictures encountered in a physician's practice. It can pose a great burden on the individual and in addition have a multifactorial origin. It can be caused by intervertebral discs, vertebral joints, nerve roots, ligaments, sacroiliac joints, or a combination of the above. Back pain, as a symptom of a systemic disease, can also be a warning signal of grave disorders such as malignancies or in the event of aortic aneurysm. The well-considered choice of appropriate diagnostic procedures and suitable treatment requires a thorough knowledge of this multifactorial clinical picture.

摘要

背痛是医生临床实践中最常见的病症之一。它会给个人带来巨大负担,且成因具有多因素性。它可能由椎间盘、脊椎关节、神经根、韧带、骶髂关节或上述因素的组合引起。背痛作为一种全身性疾病的症状,也可能是严重疾病(如恶性肿瘤或主动脉瘤)的警示信号。要审慎选择合适的诊断程序和恰当的治疗方法,就需要全面了解这种多因素的临床病症。

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