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腰椎间盘突出症是常见症,多发生在中壮年、老年人。由于腰椎间盘退变或遭受外力引起间盘向后方(椎管内)突出,压迫神经根,导致放射性神经痛和神经功能障碍。主要症状为反复发生腰痛、腿痛,有的比较剧烈,沿坐骨神经走行的方向放射痛,咳嗽用力、大小便可使疼痛加剧,腰部僵直,脊柱侧弯,腰部活动多为不对称的受限。如果是巨大的腰椎间盘突出或破裂,可能引起马尾压迫综合症。临床上可出现大小便功能异常、间歇性跛行、马鞍区感觉障碍等。如病程较长,神经根受压较重的患者可出现肌力减退和肌肉萎缩。腰椎间盘突出
Lumbar disc herniation is a common disease that occurs most often in middle-aged and elderly people. Due to degeneration of the lumbar intervertebral disc or external force caused by the disk to the posterior (intraspinal) protrusion, oppression of nerve roots, leading to radioactive neuralgia and neurological dysfunction. The main symptoms are repeated low back pain, leg pain, and some are more severe. The direction of the sciatic nerve along the line of radiation pain, cough force, urine can make the pain worse, the waist stiffness, scoliosis, waist activity is mostly asymmetrical restrictions. If it is a huge lumbar disc herniation or rupture, it may cause ponytail compression syndrome. Clinically, there may be abnormalities in stool, intermittent claudication, and sensory disturbances in the saddle region. Patients with longer duration of nerve root compression may have decreased muscle strength and muscle atrophy. Lumbar disc herniation