家里老人长期腰疼,最近厉害了,所以看医生,最初见医生的时候,医生说需要看详细的MRI 才能决定是脊柱injection还是手术。还有两周后见医生讨论MRI 结果,想看看版上有人有经验吗,这种情况是不是必须的手术了,我用GOOGLE TRANSLATE 读了一遍,但完全不懂术语。 谢谢了。 Study Result Narrative EXAMINATION: MRI LUMBAR SPINE WO CONTRAST CLINICAL HISTORY: M47.816 Spondylosis without myelopathy or radiculopathy lumbar region, S32.030S Wedge compression fracture of third lumbar vertebra sequela, chronic lower back pain COMPARISON: None TECHNIQUE: Multiplanar multisequence nonenhanced MRI examination was performed of the lumbar spine. FINDINGS: There are 5 non-rib bearing lumbar type vertebrae. Chronic moderate compression deformity with Schmorl''s node of the superior endplate of L3. 1 to 2 mm retrolisthesis of L2 on L3, degenerative. No suspicious osseous lesions. Modic type I endplate change superior endplate of L4. Hemangioma of L1. Modic type II endplate change at L1-S1. Conus medullaris terminates at the level of L1. Evaluation of the visualized soft tissues demonstrates no mass, adenopathy or aneurysm. Axial images through the disc spaces demonstrate the following: L1-L2: Small disc bulge and mild facet arthropathy contributes to mild bilateral subarticular zone stenosis without significant central spinal canal or neural foraminal stenosis. L2-L3: Moderate facet arthropathy and small disc bulge with endplate osteophytes contributes to mild left neural foraminal stenosis, mild to moderate left and mild right subarticular zone stenosis, as well as mild central spinal canal stenosis. No significant right neural foraminal stenosis. L3-L4: Severe right greater than left facet arthropathy with mild ligament flavum infolding, small disc bulge, eccentric to the right, and small endplate osteophytes. These findings contribute to severe right subarticular zone stenosis with compression of the traversing right L4 nerve root, moderate right neural foraminal stenosis with contact of the exiting right L3 nerve root, and mild to moderate left neural foraminal stenosis . There is moderate left subarticular zone stenosis with contact and possible mild mass effect on the traversing left L4 nerve root. There is mild central spinal canal stenosis. L4-L5: Moderate to severe right and moderate left facet arthropathy with ligament flavum infolding, small disc bulge, and endplate osteophytes. These findings contribute to moderate right neural foraminal stenosis as well as mild left and moderate right subarticular zone stenosis, with probable compression of the traversing right L5 nerve root. No significant central spinal canal or left neural foraminal stenosis. L5-S1: Moderate right extraforaminal endplate osteophytes contributes to mild right neural foraminal stenosis. No significant central spinal canal, subarticular zone, or left neural foraminal stenosis. IMPRESSION: 1. Multilevel degenerative changes of the lumbar spine, most notably L2-3, L3-4, and L4-5 as detailed above. 1RM1RAD_PS39
等两周去看医生,就想知道自己先大体了解下
你看看这个图片大概就明白了
这个问题最常见的疗法是打针,然后有一种微创手术radio frequency ablation和根管治疗的机理差不多,就是杀神经止痛。
除此之外还有好几个部位狭窄,椎间孔啊什么的。据我所知这些症状到一定年龄后大家都会有,实在太严重了可以用微创减压手术治疗。
声明一下,我不是医生,只不过由于职业关系对这一块相对比较熟悉。
谢谢mm,你这个回答太有帮助了
谢谢分享
请问你第一次打完后,还有做别的治疗吗?比如物理治疗,针灸什么的?第一次打完就能行动自如吗?麻有消失吗?医生告诉我说大部分人6个月也能自愈,那个突出的部分一般会自己吸收掉部分,但你又疼了,那继续打针吗?难不成这东西非要手术割掉才能解决?