继发于腰椎间盘突出的马尾神经综合征

【摘要]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刀5)。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。

Cauda equina syndrome secondary to lumbar disc herniation

ve To 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.