腰椎间盘突出症伴马尾神经综合征

目的：探讨腰椎间盘突出症伴马尾神经综合征的发病机制，治疗及预后。方法：对15例患者的临床资料及随访结果进行分析。结果：平均随访3年6个月，全部病例都有不同程度的恢复。其中Kostuik A型2例完全恢复，4例不全恢复；B型7例完全恢复，2例不全恢复。结论：该综合征是由压迫本身及压迫致马尾神经瘀血，水肿，影响脑脊液循环及血供障碍引起，一经确诊应尽早手术减压。急性完全性损伤预后较差，慢性不全损伤预后好。

Lumbar disc herniation accompany with cauda equina syndrome

Objective To explore the mechanism, treatment and prognosis of lumbar disk herniation with cauda equina syndrome. Methods A retrospective analysis of clinical data and follow up results were performed in 15 patients with this disease. Results The patients were followed up for 3 5 years on average, all patients recovered to different extent. After operation, 2 patients were perfectly recovered and 4 partially recovered in 6 Kostuik A type cases. In 9 case of B type,7 patients were recovered completely and 2 were partially recovered. Conclusion Pathogenesis of cauda equina syndrome is caused by pressure or cauda equina congestion and edema triggered by pression, resulting in nerve root ischemia and obstruction of circulation of cerebrospinal fluid. Once diagnosed, decompression must be performed early. Prognosis of acute and full trauma is relatively poorer, while the prognosis of chronic and incomplete trauma is good.