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腰椎间盘突出症合并马尾神经损伤

Hits: 2165 Download times: 2381 Received:February 08, 1999 Revised:December 16, 1999

作者	Author	单位	Unit	E-Mail
徐彬	XU Bin	山西医科大学第一医院,山西太原030001	The First Hospital of Shanxi Medical University Shanxi Taiyuan,030001
曹瑞治	CAO Rui zhi	山西医科大学第一医院,山西太原030001	The First Hospital of Shanxi Medical University Shanxi Taiyuan,030001
李钰	LI Yu	山西医科大学第一医院,山西太原030001	The First Hospital of Shanxi Medical University Shanxi Taiyuan,030001
郑仰林		山西医科大学第一医院,山西太原030001	The First Hospital of Shanxi Medical University Shanxi Taiyuan,030001

期刊信息：《中国骨伤》2000年13卷，第11期，第653-654页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨腰椎间盘突出症合并马尾神经损伤的特点、鉴别诊断及损伤机理,并总结其诊断、治疗及预防经验。

方法:11例腰椎间盘突出症合并马尾神经损伤,均采用全椎板切除、彻底摘除髓核的术式治疗。

结果:随诊1～7年,其中4例完全恢复,6例不完全恢复,1例无恢复。

结论:腰椎间盘突出症合并马尾神经损伤,与间盘突出大小、病程长短及是否合并椎管狭窄密切相关,一经确诊应立即手术治疗。

[关键词]:椎间盘移位创伤与损伤马尾神经

Intervertebral lumbar disc herniation combined with cauda equina injury

Abstract:

Objective: To study the characteristics,diagnosis,treatment and the mechanism of injuries of lumbar disc herniation(LDH) combined with cauda equina injury.

Methods:Laminectomy was performed for all the 11 cases of LDH with canda equina injury.The protruded intervertebral discs were removed completely.

Results:The period of follow up ranged from 1 to 7 years.Of the 11 cases,4 recovered to normal,6 had incomplete recovery and 1 had no change.

Conclusion: The clinical presentations of LDH combined with cauda equina injury are closely related to the size of lumbar disc protrusion,the period of the illness and whether or not associated with spinal stenosis.These patients must be treated with surgery as soon as the diagnosis is established.

KEYWORDS:Intervertebral disk herniation Wounds and injuries Cauda equina

引用本文，请按以下格式著录参考文献：

中文格式:	徐彬,曹瑞治,李钰,郑仰林.腰椎间盘突出症合并马尾神经损伤[J].中国骨伤,2000,13(11):653~654
英文格式:	XU Bin,CAO Rui zhi,LI Yu.Intervertebral lumbar disc herniation combined with cauda equina injury[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(11):653~654

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