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女,57岁。因腰酸、左下肢胀麻疼痛2年,症状加剧3个月入院。入院前曾以坐骨神经痛处理,采用封闭、理疗及药物治疗,每见缓解。于入院前3个月由于左下肢疼痛加剧,尤以夜间为重方入院就医。体检:一般情况良好。相当于第3腰椎左侧局部软组织略饱满,轻压痛。左下肢抬高70度时受限,肌张力略增高,未见肌萎缩,未引出病理反射。腰椎平片示:第3腰椎左侧椎弓根部骨质可见一大约3.5×2.2厘米的椭圆形,囊状改变,边界光整,未见钙化及软组织肿块,未见
Female, 57 years old. Due to backache, left lower extremity numbness and pain for 2 years, the symptoms worsened 3 months after admission. Before sciatica, he was treated with closed physiotherapy and drug therapy. Due to the increased pain in the left lower extremities 3 months before admission, he was admitted to hospital for treatment especially at night. Physical examination: Generally good. Equivalent to the left side of the third lumbar spine, the local soft tissue is slightly full and lightly tender. When the left lower extremity was elevated at 70 degrees, it was limited, and the muscle tension increased slightly. No muscle atrophy was seen and no pathological reflex was induced. Lumbar plain film shows: the third lumbar spine bone on the left pedicle shows an approximately 3.5 × 2.2 cm oval shape, cystic changes, border finishing, no calcification and soft tissue mass, no