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容易与腰椎间盘突出混淆的疾病(Disease easily confused with lumbar disc herniation)
容易与腰椎间盘突出混淆的疾病(Disease easily confused with lumbar disc herniation)
Lumbar intervertebral disc protrusion is easy to confuse with what disease?
Because of the classification of the disease and the location of the nucleus of the medulla in the spinal canal, there are many types of diseases resulting in a large difference in symptoms and signs. Therefore, there are many diseases that need to be identified. Based on nearly 50 years of clinical experience, it is recommended that:
The first step was to determine whether the pain characteristics exhibited by the patient belonged to radicular pain. The pain in patients with lumbar disc herniation should be radicular pain, not dry pain or cluster pain.
The second step, according to the nature of patients with radicular pain, characteristics, location and influencing factors, and other similar diseases identified. In this way, the diagnosis will not be led astray. Of course, for individual special types, another identification will be made. Three cases of radicular pain, dry pain and cluster pain were identified as follows: neck flexion test was positive, and it might be intraspinal lesion. The tenderness of the spinous process and spinous process and percussion pain are more common in the spinal canal. The Huantiao point tenderness mainly without lumbar and femoral nerve tenderness, for sciatic nerve outlet stenosis. The lower waist percussion comfortable women for gynecologic diseases. Tenderness of outlet nerve of femoral nerve, mostly in pelvic cavity.
The above number can be completed in just a few minutes, plus the sensory area to determine test, foot numbness area and knee and ankle reflexes, in general can be found at the end of the 10min, and provides the basis for the identification of the three, the confidence rate above 90%. It is not difficult to distinguish between anus and fingers, gynecological consultation, X-ray film, various tests and treatment tests. For lower lumbar symptoms and positive signs of pyramid
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