1 临床资料 患者男性,39岁,安-26飞行员,飞行时间 3 300 h。2003年2月21日入院健康疗养,大体检述腰痛两个月伴右臀痛1月。入院前曾以“腰肌劳损”于驻地医院行理疗、外贴膏药治疗,腰痛症状缓解。查体:腰曲直,腰椎右凸侧弯,腰_2逆旋,棘旁右侧压痛(+),压痛放射痛(±);棘上韧带剥离,压痛(+);直腿抬高试验左60°,右40°;棘间隙无明显改变。腰椎 1 Clinical data Patients Male, 39 years old, An-26 pilots, flight time 3 300 h. February 21, 2003 admission to health convalescence, general examination of low back pain for two months with right hip pain in January. Before admission to “lumbar muscle strain” in the resident hospital line therapy, plaster treatment, lumbago relieve symptoms. Physical examination: lumbar curvature, right lumbosacral curve, lumbar_2 reverse, right paraneoplastic tenderness (+), tenderness radiating pain (±); spine superior ligament stripping, tenderness (+); straight leg raising test left 60 °, right 40 °; no significant change in interspinous space. Lumbar