b*******l
发帖数: 1095 | 1 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 to observed inferior facet
arthropathy consistent with mild degenerative spondylolisthesis. No
spondylolysis is identified. Modic type 2 and Modic type3 alteration in
marrow signal is seen at the L4-5 level. No bone marrow replacement process
is seen. No compression deformity is noted. The conus medullaris is situated
at the Li level and appears intact.
At L1-2, the central canal and neural foramina are not compromised.
At L2-3. Mild diffuse disc bulge is seen with patency of the central canal
and neural foramina.
At L3-4, there is diffuse disc bulge with hypertrophic ligamentum flavum
with patency of the central canal. The neural foramina appear to be patent.
At L4-5, there is mild diffuse disc bulge eccentrically prominent on the
left side. Hypertrophic ligamentum flavum and facet arthropathy is present.
The central canal appears maintained. The neural foramina do not appear to
be compromised with some disc material bulging into the left neural foramen.
At L5-S1 , there is diffuse disc bulge with patency of the central canal.
The neural foramina demonstrate mild narrowing on the right from bone
spurring and disc bulging extending laterally and patency on the left.
CONCLUSION::
There is lumbar spondylosis with lower lumbar dextroscoliosis. Mild grade 1
degenerative spondylolisthesis of L4 is seen.
Inferior facet arthropathy is noted.
Multilevel disc bulging is seen without compromise of the central canal. No
focal disc herniation is seen.
Mild narrowing of the right neural foramen at L5-s1 present from bone
spurring and disc hulging extending laterally. No significant neural
foraminal compromise is observed.
万分感谢各方面意见！ |
b**h
发帖数: 293 | 2 老大，医生都建议手朮，你还指望版上的非医人士或者对患者有限了解的医疗人士给你
更好的建议？
【在 b*******l 的大作中提到】
: 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 to observed inferior facet
|
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 to observed inferior facet
arthropathy consistent with mild degenerative spondylolisthesis. No
spondylolysis is identified. Modic type 2 and Modic type3 alteration in
marrow signal is seen at the L4-5 level. No bone marrow replacement process
is seen. No compression deformity is noted. The conus medullaris is situated
at the Li level and appears intact.
At L1-2, the central canal and neural foramina are not compromised.
At L2-3. Mild diffuse disc bulge is seen with patency of the central canal
and neural foramina.
At L3-4, there is diffuse disc bulge with hypertrophic ligamentum flavum
with patency of the central canal. The neural foramina appear to be patent.
At L4-5, there is mild diffuse disc bulge eccentrically prominent on the
left side. Hypertrophic ligamentum flavum and facet arthropathy is present.
The central canal appears maintained. The neural foramina do not appear to
be compromised with some disc material bulging into the left neural foramen.
At L5-S1 , there is diffuse disc bulge with patency of the central canal.
The neural foramina demonstrate mild narrowing on the right from bone
spurring and disc bulging extending laterally and patency on the left.
CONCLUSION::
There is lumbar spondylosis with lower lumbar dextroscoliosis. Mild grade 1
degenerative spondylolisthesis of L4 is seen.
Inferior facet arthropathy is noted.
Multilevel disc bulging is seen without compromise of the central canal. No
focal disc herniation is seen.
Mild narrowing of the right neural foramen at L5-s1 present from bone
spurring and disc hulging extending laterally. No significant neural
foraminal compromise is observed.
万分感谢各方面意见！ |
b**h
发帖数: 293 | 4 老大，医生都建议手朮，你还指望版上的非医人士或者对患者有限了解的医疗人士给你
更好的建议？
【在 b*******l 的大作中提到】
: 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 to observed inferior facet
|
g********1
发帖数: 178 | 5 江苏扬州那里有个祖传治疗腰间盘突出的医生，方法很简单就是用锁头敲后给回位。听
我同学讲去那里治疗药排长队，都是从四面八方赶来的。我同学治疗过，她婆婆也治疗
过，总之她周围很多人都治疗过，但是每个人效果不同，有的特别好，有的情况一般，
因人而异。我同学治疗后好像没再听她怎么提起腰痛，但是治疗后要躺在硬板床一个多
月，好像是这样的，你可以通过熟悉的人打听一下，如果需要我帮你问地址。 |
z***6
发帖数: 622 | 6 你好可以告诉我医生地址吗?
【在 g********1 的大作中提到】
: 江苏扬州那里有个祖传治疗腰间盘突出的医生，方法很简单就是用锁头敲后给回位。听
: 我同学讲去那里治疗药排长队，都是从四面八方赶来的。我同学治疗过，她婆婆也治疗
: 过，总之她周围很多人都治疗过，但是每个人效果不同，有的特别好，有的情况一般，
: 因人而异。我同学治疗后好像没再听她怎么提起腰痛，但是治疗后要躺在硬板床一个多
: 月，好像是这样的，你可以通过熟悉的人打听一下，如果需要我帮你问地址。
|
