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继发于腰椎间盘突出的马尾神经综合征

Hits: 2274 Download times: 1032 Received:May 21, 2001

作者	Author	单位	Unit	E-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15卷，第4期，第205-207页

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

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.

KEYWORDS: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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