【摘要】 对于腰腿痛的病因,临床过分倾向于椎间盘突出和椎管狭窄,而对于腰神经根经路方面却未予充分重视。我们从1983年3月至1989年10月间,在187例腰腿痛患者的手术治疗中发现:约18.2%的患者并非间盘突出。而却在其腰神经通路上出现卡压现象。其病因依次为黄韧带肥厚、侧隐窝狭窄、小关节肥大、椎静脉曲张等。通过几年的观察,我们发现此类病人有时虽难以与腰椎间盘突出、腰椎管狭窄症相鉴别,但仍有其临床特点及不同的病理过程,有必要把它作为单独一个疾病来进行分析、讨论。更多还原

【Abstract】 Traditionaliy there is an excessive inclination in clinical etiology to attribute lumbar and leg pain to lumbar intervertebral disc protrusion or spinal canal stenosis while the etiological factors on the path of the lumbar neural roots are often neglected.In our operations from March of 1987 to October of 1989,however,34 from 187 cases(18.2%)of lumbar and leg pain were found suffering entrapment on the path of lumbar neural roots instead of intervertebral disc protrusion.The etiological factors,in or- der of precedence,are hyperplasia of ligamentum flavum,stenosis of side recess,hypertrophy of articular process of vertebrae,phlebectasia of intermal vertebral venusplexvs,etc.Observing for ceveral years,we believe it is necessary to deal with non-intervertebral-dics-protrusion lumbar neural root entrapment as a separate disease,since it has its clinical characteristics and unique pathological course,though some- times it is hard to distinguish.it from those of lumbar intervertebral disc protrusion or of spinal canal stenosis.更多还原