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[脊柱源性腰骶神经根炎的诊断与治疗主要趋势]

[Diagnosis and the main trends in the treatment of spondylogenic lumbosacral radiculitis].

作者信息

Akimov G A, Kovalenko P A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(4):19-23.

PMID:2750374
Abstract

Clinical, immunological, liquorological, roentgenological, rheovasographic, myelographic methods and computerized tomography (CT) were used to investigate 153 patients with spondylogenic lumbosacral radiculitts. The data expanded our knowledge of pathogenesis of neurological signs of lumbar osteochondrosis. Diagnostic capacities of CT in this ailment were for the first time assessed in comparison with other investigation techniques. Clinical CT syndromes of median, paramedian and posterolateral intervertebral disc hernia were depicted. Pathogenic grounds were offered to differential use of electroneurostimulation, reflex, manual, tractional therapies in the combined treatment of the disease depending on its actual stage. CT is recommended to evaluate the treatment efficiency.

摘要

采用临床、免疫学、脑脊液学、放射学、血流动力学、脊髓造影方法及计算机断层扫描(CT)对153例脊椎源性腰骶神经根炎患者进行了研究。这些数据拓展了我们对腰椎骨软骨病神经症状发病机制的认识。首次将CT在该疾病中的诊断能力与其他检查技术进行了比较评估。描述了正中、旁正中及后外侧椎间盘突出的临床CT综合征。根据疾病的实际阶段,为电神经刺激、反射、手法、牵引疗法在该疾病综合治疗中的差异应用提供了发病学依据。建议采用CT评估治疗效果。

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