腰椎间盘突出症合并马尾神经损伤

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，一切确诊应立即手术治疗。

Intervertebral lumbar disc herniation combined with cauda equina injury

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.