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腰骶神经根异常的脊髓造影诊断与治疗

[Myelographic diagnosis and treatment of lumbosacral nerve root anomalies].

作者信息

Lian P, Sun R H, Liu D X

机构信息

85 Hospital, People's Liberation Army.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Jul;32(7):407-9.

PMID:7842977
Abstract

Altogether 480 patients were examined with myelography in the study from 1987 to 1992 and 28 cases having anomalous lumbosacral nerve roots with other concomitant diseases were found. The anomalies were classified three types based on myelographic findings. Type 1, root sleeve displacement; Type 2, a, roots through one foramen; b, roots through two foramina; c, roots through three foramina; Type 3, double roots through one foramen. All patients were proved and treated during operation. The results of treatment were good (92.8%). We considered that most lumbosacral nerve roots anomalies were asymptomatic, however, when they were compressed by degenerative canal tissue, classic nerve root pain appeared eventually. Myelography is helpful to its diagnosis and treatment.

摘要

在1987年至1992年的研究中,共有480例患者接受了脊髓造影检查,发现28例腰骶神经根异常并伴有其他疾病。根据脊髓造影结果,这些异常分为三种类型。1型,神经根袖移位;2型,a,神经根通过一个椎间孔;b,神经根通过两个椎间孔;c,神经根通过三个椎间孔;3型,双神经根通过一个椎间孔。所有患者均在手术中得到证实并接受治疗。治疗效果良好(92.8%)。我们认为大多数腰骶神经根异常是无症状的,然而,当它们被退变的椎管组织压迫时,最终会出现典型的神经根疼痛。脊髓造影有助于其诊断和治疗。

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