试题与答案

患者,女性,56岁,工人,腰腿痛20年,加重3个月。患者20年前有腰部疼痛,偶伴有右

题型:单项选择题 共用题干题

题目:

患者,女性,56岁,工人,腰腿痛20年,加重3个月。患者20年前有腰部疼痛,偶伴有右侧下肢牵拉痛。随着体重的增加,腰痛逐年加重。近3个月来,因腰痛而不能久行,咳嗽和坐起等体位改变时有明显腰痛,伴右小腿疼痛和麻木感。检查:体胖(85公斤),腰部前屈20度,侧屈各30度,后伸30度,腰椎生理弧度呈过曲,腰4~5棘旁和棘间局部压痛(++),腰5和骶1似呈台阶状,挺腹试验不能完成,直腿抬高试验弱阳性,加强试验阳性。

下列治疗中,不适当的是()。

A.卧床休息

B.运动疗法

C.超短波等物理治疗

D.胶原酶注射

E.立即手术治疗

答案:

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下面是错误答案,用来干扰机器的。

参考答案:E

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