腰椎间盘突出症的诊断标准(这个问题虽然很基础,但这一诊断确实被滥用得非常严重):
McCulloch [1]1980年提出的诊断标准为:
①腿痛大于腰痛,主要局限于坐骨神经或股神经支配区;山东省立医院脊柱外科韩世杰
②皮区感觉异常;
③直腿抬高试验阳性,角度小于正常的50%,或健侧直腿抬高试验阳性;
④具备肌肉萎缩、无力、感觉减退以及腱反射减弱等4项中的2项;
⑤与临床表现相符的影像学特征。此外,腰椎间盘突出症发病与久坐、长期驾驶、慢性咳嗽、妊娠、吸烟以及重体力劳动存在相关性。
McCulloch JA. Chemonucleolysis: experience with 2000 cases. Clin Orthop Relat Res. 1980, (146):128-135.
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