梨状肌综合症ppt课件.pptVIP

 梨状肌综合症存在吗解剖与临床;梨状肌综合症临床表现与腰椎间盘突出症相似;正常情况下 坐骨神经自梨状肌下孔穿出;但存在各种变异;变异何时引起坐骨神经痛;临床真的有梨状肌综合征吗？;Report Case1 Male 70ys ;男 70岁 剧烈坐骨神经痛髋关节正常 未见肿物;X –ray of lumbar spine ;椎间盘退变但无腰痛;Operation ;Buttock pain  sciatic pain but no low back pain;X –ray film;No disc protrusion;MRI ;operation;;坐骨神经穿经梨状肌并被腱性组织卡压;Resecting the part of the muscle;Release the sciatic nerve;Operation of the decompressiomn of the iplateral common peroneal nerve;Female 52ys button pain VAS 7;operation;;Case 4 F 62 ys first operation ;Operation agagin;;No obvious fat mass;Anomalous Fiber Bands;The case ;讨论 梨状肌综合征客