继发于腰椎间盘突出的马尾神经综合征
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作者Author单位AddressE-Mail
朱建平 ZHU Jian-ping 解放军第101医院,江苏无锡214044 The 101th Hospital of PLA Jiangsu Wuxi ,214044  
刘丽丽 LIU Li-li 解放军第101医院,江苏无锡214044 The 101th Hospital of PLA Jiangsu Wuxi ,214044  
于晓华 YU Xiao-hua 解放军第101医院,江苏无锡214044 The 101th Hospital of PLA Jiangsu Wuxi ,214044  
周晨曦 解放军第101医院,江苏无锡214044 The 101th Hospital of PLA Jiangsu Wuxi ,214044  
期刊信息:《中国骨伤》2002年,第15卷,第4期,第205-207页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:阐明马尾神经综合征术后神经功能结果及其临床意义。

方法:对因腰椎间盘突出导致的马尾神经综合征患者33例分为早期手术组和延迟手术组进行回顾性分析。早期手术组48小时内手术20例,其中门例在24小时内手术。延迟手术组13例在马尾神经综合征表现48小时之后予以手术,平均延迟7天,其中9例延迟手术者系医源性延迟。

结果: 延迟手术者膀眺功能障碍、运动功能障碍和持续性疼痛的发生率明显大于早期手术组(P<0.05)。

结论:对因腰椎间盘突出所致的马尾神经综合征应尽早手术。
【关键词】椎间盘移位  手术后并发症  马尾神经损伤
 
Cauda equina syndrome secondary to lumbar disc herniation
ABSTRACT  

Objective:study the recovery of nerve function of cauda equina syndrom after lumbar disc herniation operation and its clinical significance

Methods:33 cases of cauda equina syndrom induced by lumbar disc herniation were reviewed and divided into two groups: early operation group and delayed operation group. In the former group,20 cases had undergone operation within 48 hours including 17 in 24 hours,and in the latter group, 13 cases after 48 hours following cauda equina syndrom occurrence with an average delay of 7 days,also included 9 delayed cases caused by iatrogenic reasons.

Results:The incidence rate of bladder dys-function dyskinesia and rest pain in the delayed operation group was obviously higher than that of the early op-eration group(P<0.05).

Conclusion: For the patients with cauda equina syndrom induced by lumbar disc herniation, the operation should be done as early as possible.
KEY WORDS  Intervertebral disc displacement  Postoperative complications  Injury of cauda equina
 
引用本文,请按以下格式著录参考文献:
中文格式:朱建平,刘丽丽,于晓华,周晨曦.继发于腰椎间盘突出的马尾神经综合征[J].中国骨伤,2002,15(4):205~207
英文格式:ZHU Jian-ping,LIU Li-li,YU Xiao-hua.Cauda equina syndrome secondary to lumbar disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(4):205~207
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