患者，女，42岁，农民。反复腰痛12年伴双下肢放射痛麻木1年余，加重4天，以腰椎间盘突出症入院。查体：痛苦病容，被动体位，营养良好，无午后低热等结核中毒症状。腰椎生理曲度正常存在，L’－＆棘旁软组织压痛．叩击痛，向双小腿外侧放射。左右小腿内、外侧，足背及会阴部感 Patient, female, 42 years old, farmer. Repeated low back pain for 12 years with lower extremity radiating pain and numbness more than 1 year, aggravating 4 days to lumbar disc herniation admitted. Physical examination: painful, passive body position, well-nourished, no post-natal fever and other symptoms of tuberculosis. Normal lumbar physiological curvature, L ’- & soft tissue of the paraneoplastic tenderness. Percussion pain, radiation to the outside of the double leg. Left and right calf, lateral, dorsal and perineal feeling