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基于疼痛特点的腰椎间盘突出症个体化疾病诊断
引用本文:黄仕荣,石印玉,詹红生.基于疼痛特点的腰椎间盘突出症个体化疾病诊断[J].中国骨伤,2014,27(3):216-219.
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、演变情况和影响因素等具有一定的特点与规律。这些个体化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参考。在明确疾病诊断与鉴别诊断的基础上,腰椎间盘突出症病例尚须进一步区别典型与非典型、单纯与复合、普通与特殊等个体化疾病特征,在此基础上才能确定个体化疾病治疗方案。

关 键 词:腰椎  椎间盘移位  腰腿痛  诊断
收稿时间:2013/4/23 0:00:00

Specific lumbocrural pain and the individual diagnosis of lumbar intervertebral disc herniation
HUANG Shi-rong,SHI Yin-yu and ZHAN Hong-sheng.Specific lumbocrural pain and the individual diagnosis of lumbar intervertebral disc herniation[J].China Journal of Orthopaedics and Traumatology,2014,27(3):216-219.
Authors:HUANG Shi-rong  SHI Yin-yu and ZHAN Hong-sheng
Institution:Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Orthopedics & Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, ShangHai 200021, China;Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Orthopedics & Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, ShangHai 200021, China;Department of Orthopaedics & Traumatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Institute of Orthopedics & Traumatology Affiliated to Shanghai Academy of Traditional Chinese Medicine, ShangHai 200021, China
Abstract:Pain is all lumbocrural pain cases very common clinical symptoms,but the etiology,pathology,site(range or area),intensity,nature,evolution situation and influence factors of pain usually has some certain characteristics and rules,these differences particularly are regarded as the primary and important basis or clue for the clinical diagnosis and differential diagnosis of related diseases. In addition,according to these differences can determine the individual diagnosis of lumbar intervertebral disc herniation as well,including typical and atypical,simple and compound,the general and special cases,these become the basis to determine the individualized therapeutic schedule of this disese.
Keywords:Lumbar vertebra  Intervertebral disc displacement  Lumbago-leg pain  Diagnosis
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