g*******e
发帖数: 33 | 1 有一个亲戚患了黄韧带肥厚（hypertrophy of ligamentum flavum），医生说手术有较
大风险，想问一下美国这边有没有什么疗效较好的新药？谢谢 |
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b*******l
发帖数: 1095 | 2 患者女， 年约60， MR 诊断后已接受大概俗称的“打封闭”治疗，但腰部仍然感觉痛
楚，患者自我评价“打封闭" 的疗效（好转情况）大约是100%中的30%。医生建议进行
外科脊椎手术。 考虑患者年纪及病程，诚心求建议。
EXAM: MR LUMBAR SPINE WITHOUT CONTRAST
INDICATION: Chronic low back pain with left lower extremity radiculopathy.
Weak left sided reflexes. Herniated nucleus pulposus. Technique: Sagittal
and axial T1 and fast spin echo T2, sagittal STIR sequences are performed.
Findings:
There is lower lumbar dextroscoliosis. Very fractional anterolisthesis of L4
is appreciated thought to be secondary t... 阅读全帖 |
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b*******l
发帖数: 1095 | 3 患者女， 年约60， MR 诊断后已接受大概俗称的“打封闭”治疗，但腰部仍然感觉痛
楚，患者自我评价“打封闭" 的疗效（好转情况）大约是100%中的30%。医生建议进行
外科脊椎手术。 考虑患者年纪及病程，诚心求建议。
EXAM: MR LUMBAR SPINE WITHOUT CONTRAST
INDICATION: Chronic low back pain with left lower extremity radiculopathy.
Weak left sided reflexes. Herniated nucleus pulposus. Technique: Sagittal
and axial T1 and fast spin echo T2, sagittal STIR sequences are performed.
Findings:
There is lower lumbar dextroscoliosis. Very fractional anterolisthesis of L4
is appreciated thought to be secondary t... 阅读全帖 |
|
b*******l
发帖数: 1095 | 4 【 以下文字转载自 Medicine 讨论区 】
发信人: byrnehell (乐天), 信区: Medicine
标 题: 椎间盘突出， 诚心求教医疗建议， 付MR检验结果
发信站: BBS 未名空间站 (Sat Feb 18 00:38:58 2012, 美东)
患者女， 年约60， MR 诊断后已接受大概俗称的“打封闭”治疗，但腰部仍然感觉痛
楚，患者自我评价“打封闭" 的疗效（好转情况）大约是100%中的30%。医生建议进行
外科脊椎手术。 考虑患者年纪及病程，诚心求建议。
EXAM: MR LUMBAR SPINE WITHOUT CONTRAST
INDICATION: Chronic low back pain with left lower extremity radiculopathy.
Weak left sided reflexes. Herniated nucleus pulposus. Technique: Sagittal
and axial T1 and fast spin echo T2, sagittal STIR sequences are pe... 阅读全帖 |
|
C*******M
发帖数: 153 | 5 四个多月前一天早晨醒来，腰椎部位突然胀痛。先以为扭伤了，帖了一个月膏药不见好
转，凌晨老是痛醒。接着看了一个月Chiroprator依然不见好转。Chiroprator让我去看
Physical Therapy。Physical Therapist让我做了一些稳定腰椎和锻炼腰肌的练习还是
不见好转。后来做了MRI。MRI报告说：
1. Mild degeneration at the L4-5 level includes a small disc bulge and mild
bilateral ligamentum flavum hypertrophy. No lumbar disk herniation is
evident.
2. Very mild T12 and L2 level vertebral body compression deformities of the
chronic and benign and/or of doubtful clinical significance. No acute
fracture evident.
3. Very mild de |
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m*******g
发帖数: 3044 | 7 FINDINGS:
The lumbar spine is in satisfactory alignment. Height of the vertebral
bodies is maintained.
T12-L1: Unremarkable.
L1-2: Unremarkable.
L2-3: Unremarkable.
L3-4: There is a mild bulge of the L3-4 annulus without visible focal
herniation or stenosis.
L4-5: There is a moderate bulge of the L4-5 annulus. Mild hypertrophy is
present of the ligamentum flavum. Dimensions of the lumbar canal at the
lower limits of normal. The AP dimension of the thecal sac measures 8 mm.
L5-S1: Unremarkable.
I... 阅读全帖 |
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C*******M
发帖数: 153 | 8 四个多月前一天早晨醒来，腰椎部位突然胀痛。先以为扭伤了，帖了一个月膏药不见好
转，凌晨老是痛醒。接着看了一个月Chiroprator依然不见好转。Chiroprator让我去看
Physical Therapy。Physical Therapist让我做了一些稳定腰椎和锻炼腰肌的练习还是
不见好转。后来做了MRI。MRI报告说：
1. Mild degeneration at the L4-5 level includes a small disc bulge and mild
bilateral ligamentum flavum hypertrophy. No lumbar disk herniation is
evident.
2. Very mild T12 and L2 level vertebral body compression deformities of the
chronic and benign and/or of doubtful clinical significance. No acute
fracture evident.
3. Very mild de |
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