腰间盘（Lumbar intervertebral disk）.docVIP

腰间盘（Lumbar intervertebral disk） 3 years ago, there was no obvious cause of lumbar pain, increased after fatigue, improved after rest, has been diagnosed and treated. Six months ago, the left lower limb pain after exertion, but not serious, so no treatment. A month ago left lower extremity pain, no relief rest after treatment at a local clinic (specific and unspecified) no significant relief, now to the hospital, outpatient for radiography and CT examination, diagnosis of L4-5.L5-S1 intervertebral disc herniation admitted. During the course of the disease there was no low fever or night sweat, no emaciation or fatigue. Past physical health, denied the history of hepatitis tuberculosis, denied surgery, trauma history. Physical examination: in general, stable vital signs, T:36.7 C P:65 / min, R:14 / min BP:110/90mmHg God, spirit, forced position, lifted into the ward, check the answer to the question of cooperation. There is no yellow stain and bleeding point in the whole skin and mucous membrane. The whole body superficial lymph nodes are not large. Skull free. Both sides of the eye, such as large round, light sensitive reflex. The neck is soft and has no resistance. Trachea centered. Thyroid is not large. Bilateral chest symmetry. Double lung breath sounds clear. The heart rate of 65 beats per minute, the law is neat, no obvious pathological murmur. The abdomen is soft and has no tenderness or rebound pain. Hepatobiliary rib untouched, Murphys sign (-), double kidney without percussion pain. Normal bowel sounds. Examination of external genital organs of anus. Physiological reflex exists, pathological reflex not elicited. Specialist examination: lumbar physiological curvature disappeared, L4-S1 spinous process around tenderness (+), percussion pain (+). Pelvic compression separation test (-), left lower extremity, 4 word sign (-), hip flexion, supination test (-), straight leg raising test (+), strengthening test (+), femoral nerve traction test (+). Inside the left l