The study on lumbar disc herniation complicated with serious cauda equina syndrome

LI Hongyu; et al

doi:10.13406/j.cnki.cyxb.2003.01.028

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The study on lumbar disc herniation complicated with serious cauda equina syndrome

更新时间：2024-01-17

- The study on lumbar disc herniation complicated with serious cauda equina syndrome
- Journal of Chongqing Medical University Issue 1, Pages: 87-89(2003)
- 作者机构：
  
  1. 重庆医科大学临床学院骨科
  2. 重庆医科大学临床学院骨科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.01.028
  CLC： R681.53
- Published：2003，
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[1]李宏宇,王锡三,安洪.腰椎间盘突出症继发严重马尾神经综合征24例报告[J].重庆医科大学学报,2003(01):87-89.

LI Hongyu, et al. The study on lumbar disc herniation complicated with serious cauda equina syndrome. [J]. Journal of Chongqing Medical University (1):87-89(2003)
[1]李宏宇,王锡三,安洪.腰椎间盘突出症继发严重马尾神经综合征24例报告[J].重庆医科大学学报,2003(01):87-89. DOI： 10.13406/j.cnki.cyxb.2003.01.028.

LI Hongyu, et al. The study on lumbar disc herniation complicated with serious cauda equina syndrome. [J]. Journal of Chongqing Medical University (1):87-89(2003) DOI： 10.13406/j.cnki.cyxb.2003.01.028.

摘要

目的:研究腰椎间盘突出症继发马尾神经综合征的发病机理

探讨其治疗和预防措施。方法:通过回顾腰椎间盘突出症合并马尾神经损伤24例病人的情况

对其发病原因、手术方法和随访结果进行了全面分析。所有病例均采用全椎板切除+椎间盘髓核摘除术。结果:24例经手术治疗后随访结果按完全恢复、部分恢复、不恢复3种方式进行分类

其中运动功能恢复较好

括约肌功能障碍次之

鞍区感觉恢复最慢

性功能恢复最差。结论:马尾神经综合征是腰椎间盘突出症的严重并发症

早期手术是治疗的关键

恢复程度与马尾神经的原始损伤程度、手术时机的选择、手术方式的运用和手术中的操作技术等因素密切相关。

Abstract

Objective:The goal of this study was to investigate the mechanisms of secondary cauda equina syndrome(CES)

a serious complication of lumbar disc herniation(LDH)

and to provide a clue of the therapeutic methods and prevention measures. Methods : In the retrospective study

24 cases

who suffered from LDH complicated with CES

were evaluated in regards to etiology

surgical and post - operative results. All the cases were operated with total - laminectomy together with discoidectomy. Results : 24 cases in the follow-up

post-operative period

were analyzed for full

partial and no recovery. Among them

the motor function recovered fully

the disturbance of sphincter recovered partially

the sensory disturbance of sella area recovered partially

and sexual function recovered poorly. Conclusion :CES is a serious complication of LDH

and early operation is the key of the treatment. There are some factors

including the degree of the primary lesion of cauda equina

the choice of the operative chance

the application of the operative method and the manipulative technique of the operation et al

that are closely related with the recoverable degree of CES.

关键词

腰椎间盘突出症继发性马尾神经综合征

Keywords

Lumbar disc herniationSecondaryCauda equina syndrome

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