外科学教学资料--腰椎间盘突出症教学材料.pptVIP

腰椎间盘突出症lumbar disc herniation , LDH ;Flexibility of motion in six degrees of freedom;Vertebral Structures;Vertebral Structures;Lumbar Vertebrae;Intervertebral Disc;Fibrocartilaginous joint of the motion segment Makes up ? the length of the spinal column Present at levels C2-C3 to L5-S1 Allows compressive, tensile, and rotational motion ;Intervertebral Disc;Intervertebral Disc;The Intervertebral Disc;LPNP--病理分型;Herniated Disc: 4 degrees;INTRODUCTION;INTRODUCTION;Definition;CIinicaI Presentation ;CIinicaI Presentation;神经根性痛的原因;The levels of lumbar HNP;临床表现－症状;临床表现－体征;1直腿抬高试验;;Protrusion of the L4/5 disc;Protrusion of the L4/5 disc;;Protrusion of the L5/S1 disc;Protrusion of the L5/S1 disc;影像学检查;Plain X-rays;腰椎X线平片;Plain CT;;解剖结构变化;;MRI;;MRI;;临床表现;症状 腰痛 坐骨神经痛 马尾神经受压 体征 腰椎侧突 腰部活动受限 压痛及骶棘肌痉挛 直腿抬高试验及加强实验 神经系统表??? ; 神经系统表现 感觉异常 肌力下降 反射异常 ;诊断;治疗;Indications for operation on prolapsed discs;与腰痛为主要表现疾病鉴别 腰肌劳损和棘上棘间韧带损伤 第三腰椎横突综合征 椎弓根峡部不连与脊椎滑脱症 腰椎肿瘤或结核 与腰痛伴坐骨神经痛的疾病鉴别 神经根及马尾肿瘤 椎管狭窄症 与坐骨神经痛为主要表现的疾病鉴别 梨状肌综合征 盆腔疾病;Herniated Nucleus Pulposus Case Study;Lateral x-ray;Lateral MRI, HNP L4-5;Axial MRI, HNP L4-5;Thank You !