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腰椎间盘突出症鉴别诊断的思路与方法
引用本文:黄仕荣,石印玉,詹红生.腰椎间盘突出症鉴别诊断的思路与方法[J].中国骨伤,2014,27(2):148-152.
作者姓名:黄仕荣  石印玉  詹红生
作者单位:上海中医药大学附属曙光医院骨伤科, 上海市中医药研究院骨伤科研究所, 上海 200021;上海中医药大学附属曙光医院骨伤科, 上海市中医药研究院骨伤科研究所, 上海 200021;上海中医药大学附属曙光医院骨伤科, 上海市中医药研究院骨伤科研究所, 上海 200021
基金项目:海派中医流派传承研究基地(编号:ZYSNXD-CC-HPGC-JD-001);中医骨伤科学国家重点学科(编号:100508);上海领军人才项目(编号:041);上海市科学技术委员会重点项目(编号:09dZ1973800);上海市科学技术委员会医学重点项目(编号:09411953400);上海市浦东新区卫生局卫生科技重点协作项目(编号:PW2010D-7)
摘    要:疼痛是所有腰腿痛病例共同的临床症状,但疼痛的病因、病理、部位(范围或区域)、强度、性质、演变情况、影响因素与伴随症状等具有一定的特点与规律。这些差异既是特定疾病临床诊断的首要依据,也是鉴别诊断的重要线索。腰椎间盘突出症临床诊断的前提是一系列的排他诊断,掌握一些类症鉴别诊断的思路与方法,将有助于该病的诊断与鉴别。

关 键 词:腰椎  椎间盘  腰腿痛  诊断
收稿时间:2013/4/25 0:00:00

Ideas and methods of differential diagnosis of lumbar intervertebral disc herniation
HUANG Shi-rong,SHI Yin-yu and ZHAN Hong-sheng.Ideas and methods of differential diagnosis of lumbar intervertebral disc herniation[J].China Journal of Orthopaedics and Traumatology,2014,27(2):148-152.
Authors:HUANG Shi-rong  SHI Yin-yu and ZHAN Hong-sheng
Institution:Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Orthopaedics & Traumatology Affiliated to Shanghai Academy of TCM, Shanghai 200021, China;Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Orthopaedics & Traumatology Affiliated to Shanghai Academy of TCM, Shanghai 200021, China;Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Institute of Orthopaedics & Traumatology Affiliated to Shanghai Academy of TCM, Shanghai 200021, China
Abstract:Pain is common clinical symptoms of lumbocrural,but the etiology,pathology,sites(range or area),intensity,nature,evolution situation and influence factors of pain has some certain characteristics and rules. These differences particularly were regarded as the primary and important basis or clues for the clinical diagnosis and differential diagnosis of related diseases. A series of exclusive diagnosis for similar symptoms is premise of diagnosis of lumbar intervertebral disc protrusion. Ideas and methods of differential diagnosis of lumbar intervertebral disc herniation can help the diagnosis and identification.
Keywords:Lumbar vertebrae  Intervertebral disk  Lumbago-leg pain  Diagnosis
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