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患者男,51岁。自述3年前无明显诱因出现腰部疼痛,逐渐放射至双下肢,伴双下肢麻木,劳累后症状加重,休息后好转,3个月前症状加重影响日常生活而来本院就诊。体检:腰椎生理曲度变直,腰椎各方向主动活动受限,下腰椎处叩痛,L4/5左侧棘突旁压痛,双下肢肌肉有萎缩表现。实验
Patient male, 51 years old. Readme 3 years ago, no obvious incentive to appear waist pain, gradually radiating to the lower extremities, accompanied by lower extremity numbness, tired after the symptoms worsened, improved after the break, 3 months ago, symptoms aggravate daily life and come to our hospital. Physical examination: lumbar physiological curvature straightening, active in all directions of the lumbar spine restricted, percussion pain in the lower lumbar spine, L4 / 5 left side of the paraneoplastic tenderness, both lower extremity muscles have atrophy. experiment