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腰椎神经节异位因先天性发育因素引起,当其位于椎管内时可被退变的神经根管、黄韧带或突出变性的椎间盘卡压而发病,导致腰、腿痛,易与多种疾病相混淆,且不易术前诊断。本文报告6例,男4例,女2例,年龄32~56岁。均因反复腰痛伴单或双下肢疼痛、麻木、无力为主要症状。3例有间歇性跛行,3例有咳嗽时腰痛向下肢放射。体格检查6例棘旁椎间隙压痛均阳性,4例出现下肢放射痛。4例直腿抬高试验阳性。5例有下肢肌力减弱、感觉减退、反射减弱的改变。脊髓造影表现为充盈缺损,CT表现为神经根相应的位置代以较规则的软组织团块。6例均采用相邻椎板间开窗、神经根管减压、髓核摘除术治疗。术后功能恢复4例,明显改善2例。手术是本病较有效的确诊及治疗的方法
Lumbar ganglion ectopic due to congenital developmental factors, when it is located in the spinal canal can be degenerative nerve root canal, ligamentum flavum or degeneration of disc deformation and disease, leading to waist and leg pain, easy and a variety of Disease confused, and not easy to preoperative diagnosis. This article reports 6 cases, 4 males and 2 females, aged 32 to 56 years. Due to repeated back pain with single or double lower extremity pain, numbness, weakness as the main symptoms. Three patients had intermittent claudication and three had lower back pain radiating to lower limbs when they had a cough. Physical examination of 6 cases of spondylolisthesis intervertebral tenderness were positive, 4 cases of lower limb radiating pain. 4 cases of straight leg raising test was positive. 5 cases of lower limb weakness, decreased sensation, decreased reflex changes. Myelography showed filling defects, CT showed the corresponding location of the nerve root replaced by a more regular soft tissue mass. 6 cases were used adjacent fenestration, nerve root canal decompression, discectomy treatment. Postoperative functional recovery in 4 cases, significantly improved in 2 cases. Surgery is more effective diagnosis and treatment of the disease