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- 您请求的操作仅限于组中的用户:鉴别诊断从临床和影像学的角度来看,有不同的病理可以模拟椎间盘突出,应予以考虑。这些病变包括起源于椎体的病变([https://en.wikipedia.org/wiki/Osteophyte#:~:text=Osteophytes%20are%20exostoses%20(bony%20projections,of%20a%20tendon%20or%20ligament]。骨赘]和[https://www.cancer.net/navigating-cancer-care/cancer-basics/what-metastasis转移瘤]),*椎间盘([https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4212701/椎间盘囊肿]),*椎间孔([https://www.sciencedirect.com/topics/medicine-and-dentistry/neurinoma神经瘤])*棘突间关节([https://www.columbiaspine.org/condition/synovial-cyst/#:~:text=Synovial%20cysts%20are%20abnormal%20fluid,lumbar%20region%20(low%20back)。*硬膜外间隙([https://www.medicinenet.com/hematoma/article.htm血肿]和[https://medlineplus.gov/ency/article/001416.htm#:~:text=An%20epidural%20abscess%20is%20a,causes%20swelling%20in%20the%20area]。硬膜外脓肿])。Marcelo Gálvez M.1, Jorge Cordovez M.1, Cecilia Okuma P.1, Carlos Montoya M.2, Takeshi Asahi K.2智利研究进展Radiología。Vol. 23 Nº2,año 2017;66-76 [https://www.webcir.org/revistavirtual/articulos/2017/3_agosto/ch/hernia_eng.pdf]椎间盘突出的鉴别诊断。]可从:https://www.webcir.org/revistavirtual/articulos/2017/3_agosto/ch/hernia_eng.pdf(上次访问为2020年1月25日) 其他鉴别诊断包括: * [[Spondylolysis]] * [[Spondylolisthesis]] * [[Cauda Equina Syndrome|Cauda equina syndrome]] * Muscle spasm * Mechanical pain * [[Myofascial pain]]Simeone, F.A.; Herkowitz, H.N.; Upper lumbar disc herniations. J Spinal Disord. 1993 Aug;6(4):351-9. (leads to local and/or referred pain, sensory disturbances) Spinal causes include * Trauma * Infection - [[osteomyelitis]] * Inflammation - [https://www.webmd.com/pain-management/guide/pain-management-arachnoiditis#:~:text=Arachnoiditis%20is%20a%20pain%20disorder,burning%20pain%2C%20and%20neurological%20problems. arachnoiditis], [https://www.mayoclinic.org/diseases-conditions/ankylosing-spondylitis/symptoms-causes/syc-20354808#:~:text=Ankylosing%20spondylitis%20is%20an%20inflammatory,be%20difficult%20to%20breathe%20deeply. ankylosing spondylitis] * [https://www.healthline.com/health/neoplastic-disease#:~:text=A%20neoplasm%20is%20an%20abnormal,t%20spread%20to%20other%20tissues. Neoplasm] - benign or malignant with nerve root pressure; multiple myeloma, extradural tumour. Extraspinal causes include * [https://www.healthline.com/health/peripheral-vascular-disease#:~:text=Peripheral%20vascular%20disease%20(PVD)%20is,legs%2C%20and%20especially%20during%20exercise. peripheral vascular disease] * gynacological condition * [//m.houseofhawgs.com/Hip_Osteoarthritis OA hip] * [https://www.mayoclinic.org/diseases-conditions/sacroiliitis/symptoms-causes/syc-20350747#:~:text=Sacroiliitis%20(say%2Dkroe%2Dil,climbing%20can%20worsen%20the%20pain. sacroiliac joint disease] * [https://www.mayoclinic.org/diseases-conditions/peripheral-nerve-injuries/symptoms-causes/syc-20355631 peipheral nerve lesions]