Hawkes C H, Roberts G M
J Neurol Sci. 1978 Oct;38(3):337-45. doi: 10.1016/0022-510x(78)90140-5.
Intermittent claudication from peripheral vascular disease is sometimes difficult to distinguish from similar claudication due to degenerative disease of the lumbar spine. In the present study 26 patients with vascular disease were compared with 23 patients with lumbar degenerative disease. Assessment was by clinical and radiological examination. In the vascular group characteristic distinguishing features were: abnormal foot pulses, arterial bruits, relief of symptoms by standing, a constant claudicating distance and stocking sensory loss. In the lumbar group typical findings were: discomfort on lifting, bending, coughing or sneezing, pain on standing, history of back injury, variable claudicating distance and segmental sensory loss.
外周血管疾病引起的间歇性跛行有时难以与腰椎退行性疾病导致的类似跛行相区分。在本研究中，将26例血管疾病患者与23例腰椎退行性疾病患者进行了比较。通过临床和放射学检查进行评估。血管疾病组的特征性鉴别特征为：足部脉搏异常、动脉杂音、站立时症状缓解、恒定的跛行距离和袜套样感觉丧失。腰椎疾病组的典型表现为：提举、弯腰、咳嗽或打喷嚏时不适、站立时疼痛、背部受伤史、可变的跛行距离和节段性感觉丧失。
