椎间盘源性马尾神经综合征外科治疗的疗效

目的:研究椎间盘源性马尾神经综合征外科治疗的疗效。方法：对28例腰椎间盘突出引起的马尾神经综合征患者的发病因素、病程、临床表现、影像学改变、手术时机的选择与治疗的随访结果进行综合分析。随访时间5－77个月。结果：慢性发病者手术时机与疗效无明显的关系。急性发病者其疗效与手术时机的选择有关，发病1周、2周和4周以上疗效优良率分别为80％、60％和40％。结论：手术是椎间盘源性马尾神经综合征的首选治疗方法，诊断一经确立，应尽快手术。

Surgical treatment of cauda equina syndrome caused by lumbar disc herniation

Objective To observe the effects of surgical treatment of cauda equyina syndrome (CES) caused by lumbar disc herniation and its related factors Methods Twenty eight cases of CES caused by lumbar disc herniation were viewed The pathogencsis, history, characteristics of imaging and the selection of operation time were all analyzed The patients were followed up from 5 to 77 months after the initial operation Results Chronic patients were not related with selection of operation moment Selection of operation time was in to convalescent of function in urgent patients Functional evaluation revealed choiceness rate were as follows: 80%(one week),60%(two weeks) and 40%(four weeks and up) Conclusion Surgical treatment of CES can be confirmed After being diagnosed, operation should be taken as quickly as possible