Maher M, Hehir D J, Neary P, Hinchion J, O'Donnell J A
Department of Surgery, University College, Cork, Ireland.
Ir J Med Sci. 1996 Apr-Jun;165(2):118-20. doi: 10.1007/BF02943798.
Ninety-three consecutive treadmill exercise stress test were performed for the assessment of peripheral vascular function. Thirty-one were for atypical claudication-like symptoms including pain on standing, relief on sitting and back pain. Pedal pulses were palpable in 24 patients. Twenty-five patients (81%) had a negative stress test, suggesting a non-vascular aetiology and this finding was subsequently confirmed in 24 of the 25. The final diagnoses were spinal stenosis 13, [CT = 3, myelogram = 5, neurosurgeon opinion = 4, MRI = 1], myositis 2, restless leg syndrome 2 and osteoarthritis 7. Four patients had symptoms due to a combination of peripheral occlusive arterial disease and spinal stenosis; the latter was considered the predominant disorder in all four. Of the original 31 patients with atypical symptoms, spinal stenosis was present in 13 (42%). Atypia- in the common syndrome of intermittent claudication should alert the surgeon to the possibility of spinal canal disorders. Further investigation may identify significant pathology spinal stenosis in particular.
连续进行了93次跑步机运动应激试验以评估外周血管功能。其中31次是针对非典型跛行样症状，包括站立时疼痛、坐下后缓解以及背痛。24例患者可触及足背动脉搏动。25例患者（81%）应激试验结果为阴性，提示病因非血管性，这一结果随后在25例中的24例得到证实。最终诊断为脊髓狭窄13例，[CT确诊3例，脊髓造影确诊5例，神经外科医生诊断4例，MRI确诊1例]，肌炎2例，不宁腿综合征2例，骨关节炎7例。4例患者的症状是由外周闭塞性动脉疾病和脊髓狭窄共同引起的；在这4例中，后者均被认为是主要疾病。在最初有非典型症状的31例患者中，13例（42%）存在脊髓狭窄。间歇性跛行常见综合征中的非典型表现应提醒外科医生注意椎管疾病的可能性。进一步检查可能会发现重要病变，尤其是脊髓狭窄。
