1病例资料患者女性,69岁,因腰背部反复酸胀痛10余年、双下肢疼痛进行性加重半年入院,期间曾按“腰椎间盘突出症”行牵引、中药、针灸、按摩等治疗,症状未见明显好转,疼痛症状以天气变化时较为明显。体格检查:腰背部棘突叩击痛、椎旁压痛,双下肢无明显肌肉萎缩,肌力Ⅴ级,肌张力正常,右足背伸肌力Ⅲ~Ⅳ级。双下肢膝反射、跟腱反射未引出,直腿抬高 1 Case data Female, 69 years old, because of back and back pain repeated pain more than 10 years, two lower extremity pain progressive aggravating six months of admission, during which he had “lumbar disc herniation” traction, medicine, acupuncture, massage and other treatment, No significant improvement in symptoms, pain symptoms to the more obvious when the weather changes. Physical examination: lower back spinous process percussion pain, paraspinal tenderness, no obvious muscle atrophy of both lower extremities, muscle strength grade Ⅴ, normal muscle tone, right dorsal extension muscle strength Ⅲ ~ Ⅳ level. Lower extremity knee reflex, Achilles tendon reflex did not lead, straight leg elevation