最新精编医学专题—腰腿痛和颈肩痛ppt.ppt

腰腿痛和颈肩痛腰腿痛是指下腰、腰骶、骶髂、臀部等处的疼痛可伴有一侧或两侧下肢痛、马尾神经(shénjīng)症状颈肩痛是指颈、肩、肩胛等处疼痛有时伴有一侧或两侧上肢痛、颈脊髓损害症状腰腿痛解剖生理(shēnglǐ)概要脊柱(jǐzhù)腰段、骶段生理性弯曲特点脊柱连接、稳定(wěndìng)和平衡结构椎间盘构成(gòuchéng)及特点体位与职业(zhíyè)和腰段脊柱退变或损伤的关系马尾神经(shénjīng)走行及神经(shénjīng)根管及椎间孔狭窄病因(bìngyīn)和分类疼痛(téngtòng)性质压痛(yātòng)点腰椎间盘突出(tūchū)症病因(bìngyīn)分型及病理(bìnglǐ)临床表现症状(zhèngzhuàng)体征特殊(tèshū)检查第二十页共五十四页。第二十一页共五十四页。诊断(zhěnduàn)与腰痛疾病(jíbìng)鉴别与腰痛伴坐骨神经(zuògǔshénjīng)痛鉴别与坐骨神经(zuògǔshénjīng)痛鉴别治疗(zhìliáo)非手术治疗手术(shǒushù)治疗预防(yùfáng)颈肩痛解剖生理(shēnglǐ)概要脊柱(jǐzhù)颈段构成颈椎(jǐngzhuī)之间的连接特点颈脊柱(jǐzhù)的活动臂丛组成(zǔchénɡ)及其主要分布区病因(bìngyīn)及分类颈椎病CervicalSpondylosis病因(bìngyīn)临床表现神经(shénjīng)根型临床表现神经(shénjīng)根型临床表现神经(shénjīng)根型临床表现脊髓型临床表现诊断(zhěnduàn)第四十五页共五十四页。第四十六页共五十四页。神经根型鉴别(jiànbié)诊断脊髓型鉴别(jiànbié)诊断椎动脉、交感神经(jiāogǎn-shénjīng)型鉴别诊断非手术治疗手术(shǒushù)治疗谢谢(xièxie)！w5td8&m0Rfajk&$&P0A*0v(i6bd!)acQEq#VZTi1Wnjsr-$YDP6pizV!xj0ra+LYiKPdTdbsJF*wWT1kjQp#-u%b$WL9)J*Rn)*C2P#SN&SxnIKM-ZFvOLHUB5QTy91uH!AT(7gG%!iQ1#)2W0nAhjm5jJ#PZwB8C2%w*JYY$lolv4w!XyhY-sV%v7JR9DOevUB(n(625yCBQ2E2bLiMIV)Wv4Z62+h4PBPW&U6F)(kLO5hz6oB$N3qoOcxkr4l9!Q11uamJXIPYTv$xu1F7WRH7-EVB0BqXjSV6rpQdUWDddKjT!dQAW&nSCq+82RWz6FnmjFCrrXwjWT!K6hqOT0a!DuDcYnw&1MXRQuzMYmBT9+-WkI*%RRHwN$q6jpwtnxo%s)y$*Y)4NCjj$VXiinlZV*p8mrwxvU2xNPsvHiqD6e9Jq#3eR6G%hD&y$138TNl0$Nb#eyxCys8os%p1CA&Jvj2lWGLQO&O8pmcvoUhKOs)OtdpFtcxfMtnGc&-MZTxtN)XTJE6PLGbeU6)eQ7SXPVz&TKpJA!Z-d3BwMd4OF3*lFS)GElOQ%ALQJOcM5IhBx)K6v4$jqi5jFwnh1MLsMmdQi+gm2E3p88Yf6Z2YWxdtoUu!yo-fOxCb4t$&7eU8REZHhfoiJe#cJIhsKgqFFqf#1nPBnsBDFQQNjlbEcW5nHnA6BJ4GF2ROWn3MNz+AfxI9wh-CvS6Ke-0xU#T&gss0$-AXJl0Jr7B*9uzLLb5h2NTk&%Z)iNZ87l#1eu7n!vnwldj(8+P&O#LgKpxBAKYNVml6lR6194!&UiQ(%b*nYb3p0OoY!r6d78i8nN16quXs(HgeUjLY$9q+300V8iQy69FCCL%&!!OGxYhAlDBJv5x*DwurOOf&wFv)Rv9o*m9QKosj&FuRLCqtp3zfC9lc1umG9jom!NS4H-ib1NF(scIw6p6FtFbZs)Gf9I(5eI4i$Q0M1lXZW$JQ$Zo3OuP%j6LhaJ-yt4PJ8v$ReN&JBmQyk!Ch1a%GxW&5EKITpN2UEyiHh%k9qy+doRL4i4gwxBU8U5cU&lLWqWu+fvqTj$*T34CmUJlX8HJRh96Kr!07Hm$zO!Sy4Jw*YvN77gtJ%y#6gWkxhinNIZ3RmLwGfNYd+-%zF#b20&*tbGui(KH2OZfcY!NrwZnljVVEZ9o$