老年人腰椎间盘突出症64例临床分析

目的探讨老年人腰椎间盘突出症的发病规律及临床特点。方法对64例老年人腰椎间盘突出症的自然史、临床表现和术中所见进行综合分析。结果64例患者的平均病程5.4年,47例无明显诱因。影像学提示全部病例腰椎有退行性变,100%病人都有椎间及椎旁压痛,43例直腿抬高试验阳性。55例有间歇性跛行。结论老年人腰椎间盘突出症病程长,诱因不明显,间歇性跛行及直腿抬高试验可作为早期诊断的重要参考指标。

Clinical Analysis 64 Elderly Patients with Lumbar Disc Herniation

Objective To explore the etiological pattern and clinical features of lumbar intervertebral disc herniation in the elderly.MethodsA total of 64 patients older than 60 years of age were involved in this study. Their history, clinical manifestation and findings during operation were analyzed synthetically.ResultsTheir average disease history was 5.4 years, and no obvious inducement was presented in 47 ones. Retrograde changes were founded in all the patients by imageological study. All the patients presented tenderness in intervertebral and paravertebral areas, and straight-leg raising test was positive in 43 ones. Intermittent claudication was presented in 55 ones.ConclusionThe course of lumbar intervertebral disc herniation in the elderly is long, and the remote cause is not obvious. Intermittent claudication and positive straight-leg rasing test can be used as important indicators for early diagnosis.