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["联合神经根" 导致的复发性坐骨神经痛。诊断、治疗及随访]

[Recurrent sciatica caused by "conjoined nerve roots". Diagnosis, therapy, follow-up].

作者信息

Ogon M, Goebel W E, Trappe A E

机构信息

Neurochirurgischer Abteilung, Klinikum rechts der Isar der Technischen Universität München.

出版信息

Nervenarzt. 1991 Jun;62(6):378-82.

PMID:1831545
Abstract

This study reports about 10 patients, with low back pain and sciatica caused by conjoined nerve roots. The described nerve root anomaly could produce sciatica even without the presence of a disc prolaps or another impingement. On computed tomography it is difficult to distinguish conjoined nerve roots from a disc prolaps. Two of these patients have been operated, eight of them have had conservative treatment. Our experiences show that the best results could be achieved with conservative treatment, especially with stabilising gymnastics and with transcutaneous nerve stimulation.

摘要

本研究报告了10例因神经根相连导致腰痛和坐骨神经痛的患者。所描述的神经根异常即使在没有椎间盘突出或其他压迫的情况下也可能导致坐骨神经痛。在计算机断层扫描上,很难将相连的神经根与椎间盘突出区分开来。其中2例患者接受了手术,8例接受了保守治疗。我们的经验表明,保守治疗,尤其是稳定体操和经皮神经刺激,能取得最佳效果。

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