中国全科医学2016，Vol.19Issue(8)：976-978,3.DOI:10.3969/j.issn.1007-9572.2016.08.024
腰椎5神经根不同部位受压患者临床特征分析
Clinical Characteristics of Patients With Different L5 Nerve Root Compression Sites
成赋斌 1杨先文1
作者信息
- 1. 510507广东省广州市，武警广东省总队医院军人病区，综合科
- 折叠
摘要
Abstract
Background Lumbar intra -spinal canal stenosis is characterized by leg pain that intensifies during walking and intermittent claudication, while leg pain at rest is a characteristic neurological symptom of lumbar disc herniation compressing nerve root.So far, there is a lack of research about the association between leg pain at rest and symptomatic foraminal stenosis.Objective To investigate the clinical features of patients with different L5 nerve root compression sites, in order to provide references for precise clinical diagnosis and treatment.Methods We enrolled 173 patients with unilateral leg pain who received treatment from August 2013 to June 2015 in Armed Police Corps Hospital of Guangdong Province.According to L5 nerve root compression site, the patients were divided into the L4/L5 spinal canal stenosis group (group A, n=95) and L5/S1 lumbar foraminal stenosis group (group B, n=78).Japanese Orthopaedic Association (JOA) score of lumbar vertebra was recorded;visual analogue scale ( VAS ) scores of leg pain at rest, leg pain when walking and lumbago degree before surgery were evaluated; tibialis anterior muscle, muscle strength of extensor pollicis longus, straight leg raising test and Kemp′s sign were examined.Results Group B was higher than group A in the incidence of leg pain at rest (P<0.05).The two groups were not significantly different in VAS of leg pain when walking, VAS of lumbago and incidence rates of intermittent claudication and the decrease of muscle strength of tibialis anterior muscle or extensor pollicis longus, the positive rate of straight leg raising test and the positive rate of Kemp′s sign (P>0.05).The VAS of leg pain at rest of group B was higher than that of group A〔6.0 (6.0) vs 2.0 (4.0), Z =4.00, P <0.001〕.Conclusion Leg pain at rest may be an outstanding clinical feature of L5/S1 intervertebral foramen stenosis.Patients with leg pain at rest should attach importance on the L5 nerve root involvement induced by L5/S1 foraminal stenosis.关键词
神经根压迫/腰椎/椎管狭窄/椎间孔狭窄Key words
Nerve root compression/Lumbar vertebrae/Spinal stenosis/Foraminal stenosis分类
医药卫生引用本文复制引用
成赋斌,杨先文..腰椎5神经根不同部位受压患者临床特征分析[J].中国全科医学,2016,19(8):976-978,3.
