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1临床资料患者,女,19岁,以“腰痛16d,加重伴双下肢无力7d”为主诉入院。入院查体:脊柱生理弯曲存在,无后凸及侧弯畸形,双上肢感觉、肌张力、肌力未见明显异常,双手握力V级,双侧霍夫曼征阴性。脐以下双侧肢体感觉减退,T10、T11、L1棘突及椎旁有明显压痛及叩击痛,双下肢直腿抬高试验(-),4字试验(-),右下肢肌力Ⅱ级,左下肢肌力Ⅲ级,双下肢肌张
1 Clinical data Patients, female, 19 years old, with “low back pain 16d, aggravated with weakness of the lower extremities 7d ” mainly for admission. Admission examination: the existence of spine physiological curvature, no kyphosis and scoliosis, both upper limbs feel, muscle tension, muscle strength no obvious abnormalities, hands grip V level, bilateral Huffman sign negative. The sensation of both limbs below the umbilicus decreased, T10, T11, L1 had obvious tenderness and percussion pain in the spinous process and the paraspinal side, the straight leg raising test of both lower extremities (-), 4 word test (-), , Left lower extremity muscle strength Ⅲ, double lower extremity muscular