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患者38岁,G_2P_2,住院号85268。因腰骶部疼痛,伴左小腿及左足麻木感2年,月经来潮时疼痛加重,麻木感明显,疼痛时难以行走,于2000年6月5日入院。既往无腰部外伤及手术史,月经正常。查体:腰前凸加大,腰椎活动度差,呈板状,L_(4、5)左侧及腰骶部压痛明显,有左小腿及左足放射性麻木感。左下肢肌萎缩,肌力略差于对侧,左拇指背伸肌力明显减弱,左小腿外侧及左足背皮肤浅感觉迟钝。X线片显示:L_4及L_5椎板均呈不连状态,L_4及L_5棘突为游离棘突。患者入院后行椎管造影检查,显示造影剂流畅
Patient 38 years old, G_2P_2, hospital number 85268. Due to lumbosacral pain, with left leg and left foot numbness 2 years, menstrual cramps increased pain, numbness was obvious, pain was difficult to walk, in June 5, 2000 was admitted. No past history of lumbar injury and surgery, normal menstruation. Physical examination: increased lumbar lordosis, lumbar spine motion was poor, was plate-like, L_ (4,5) left and lumbosacral tenderness obvious left leg and left foot radioactive numbness. Left lower extremity muscle atrophy, muscle strength slightly worse than the contralateral, left thumb back extensor strength was significantly weakened, left lateral leg and left foot skin shallow feeling dull. X-ray showed: L_4 and L_5 lamina were not connected state, L_4 and L_5 spinous process for the spinous process. After admission, patients underwent spinal canal angiography, showing contrast agent flow