The Relation Of Clinical Symptoms And Signs Of Lumbar Disc Herniation

Objective: To describe the position,size,morphological structure and relationship with the nerve root from the perspective of imaging regional localization has certain reference value for the clinical diagnosis and treatment plan of this disease.This research discuss the correlation of clinical symptoms and signs of lumbar disc herniation,which provides reference for clinical diagnosis and scientific selection of treatment methods for lumbar disc herniation.Methods: By collecting and recording the gender,age,clinical symptoms,physical examination results and imaging data of patients with lumbar disc herniation,patients will fill up VAS scoring table and lumbar JOA scoring table,classify MSU through imaging data,establish a database after standardized data processing,and conduct statistical analysis.Results: A total of 90 cases were included in this study,including 48 males and 42 females.The age range was 19 – 83 years,with a mean age of 51.30 ±15.46 years.The prominent segments are mainly concentrated in L4 / 5 and L5 / S1.The main symptoms are low back pain and / or hip pain,lower limb pain,and / or numbness.Among the main signs,the positive straight leg elevation test accounted for 74.44%,limited activity 71.11%,positive 62.22%,tenderness 61.11%,abnormal sensation / disorder 30%,abnormal dorsal extension test 28.89%,Achilles tendon reflex abnormality 20.00%,and abnormal plantar flexion test 12.22%.In the straight leg elevation test,the positive rate in 2A,2AB and 2B accounted for 18.89%,17.78%,15.56%,and lower in other regions.Distribution in MSU partition 1A 12 cases 13.33%,111 cases 12.22% 22%,2A 20 cases 22.22%,2AB 21 cases 23.33%,2B 18 cases 20%,2C 3 cases 3.33%,3AB 3 cases 3.33%,3B 2 cases 2.22%,mainly concentrated in 2A,2AB and 2B.Statistical analysis showed that VAS score(i.e.pain degree)can significantly negatively affect the lumbar JOA score(i.e.dysfunction)(P <0.05);lower limb pain and / or numbness and straight leg elevation test can significantly positively affect the VAS score(P <0.05);VAS score had no significant correlation with MSU partition,low back pain and / or hip pain,paraesthesia / disorder,activity limitation,tenderness,straight leg elevation enhancement test,back extension test,plantar flexion test,and Achilles tendon reflex(p> 0.05).Conclusion:1、Lumbar disc herniation Lumbar JOA score is negatively correlated with VAS score,that is,the more obvious the lumbar dysfunction,the higher the pain degree;lower limb pain and / or numbness and positive straight leg elevation test can positively affect the pain degree.This conclusion suggests that the lumbar spine functional activity can be improved by improving the pain in the clinic.2、 Lumbar disc herniation is mainly concentrated in L4 / 5 and L5 / S1 segments,and the straight leg elevation test has a high positive rate in MSU division 2A,2AB,2B,and a low positive rate in other areas.3、The diagnostic accuracy of lumbar disc herniation is not simply by clinical symptoms and signs.Clinical analysis of the patient’s past medical history,laboratory examination and imaging examination results,so as to have guiding significance for the clinical diagnosis and treatment of lumbar disc herniation.