|本期目录/Table of Contents|

[1]高苏宁,陆晓哲,赵红军,等.腰椎间盘突出致马尾综合征的手术疗效分析[J].医学研究与战创伤救治(原医学研究生学报),2009,11(03):218-220.
　GAO Su-ning,LU Xiao-zhe,ZHAO Hong-jun,et al.Analysis on surgical outcomes of Cauda Equina Syndrome secondary to Lumbar Disc Herniation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(03):218-220.
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腰椎间盘突出致马尾综合征的手术疗效分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第11卷
期数:
2009年03期
页码:
218-220
栏目:
出版日期:
2009-05-20

文章信息/Info

Title:
Analysis on surgical outcomes of Cauda Equina Syndrome secondary to Lumbar Disc Herniation
文章编号:
1672-271X(2009)03-0218-03
作者:
高苏宁1; 陆晓哲2; 赵红军1; 杨书丰1; 邱康宁1; 段文江1
解放军第81医院，1.骨科；2.泌尿外科，江苏南京 210002
Author(s):
GAO Su-ning1; LU Xiao-zhe2; ZHAO Hong-jun1; YANG Shu-feng1; QIU Kang-ning1; DUAN Wen-jiang1
1．Department of Orthorpedics, the 81th Hospital of PLA, Nanjin 210002,Jiangsu,China；2．Department of Urinary surgery, the 81th Hospital of PLA, Nanjin 210002,Jiangsu,China
关键词:
马尾综合征; 腰椎间盘突出症; 手术效果
Keywords:
Cauda equina syndrome; Lumbar Disc Herniation; Operation effect
分类号:
R681.5+3
DOI:
-
文献标志码:
A
摘要:
目的 探讨腰椎间盘源性马尾综合征(CES)的损伤机制、病程特点、手术时机和疗效。方法 对38例CES手术患者临床资料进行分析,术式包括:全椎板、大开窗、双侧扩大开 窗。根据临床症状、体征，确定CES伤型，对CES患者的手术时间窗与疗效作评析。结果 随访2~17年(平均3.4年)。手术时间:＜48 h组优良率73%，＞48 h组优良率56%；差6例，其 中5例为术前完全瘫痪者。结论 CES是腰椎间盘的严重并发症，要求及时诊断、早期手术。
Abstract:
Objective To investigate the characteristics, mechanism, treatment effect of cauda equina syndrome (CES) secondary to lumbar disc herniation (HLD).Methods 38 cases of CES secondary to HLD were reviewed. All the cases were treated with surgery including all laminectomy on 8 cases, center fenestration on 10 caces and bilateral fenestration on 20 cases. According to clinical symptoms and neurologic signs of cauda equina compression, incomplete or complete lesion of the cauda equina was identified and the relationship between surgical time and clinical outcomes were analyzed. Results The 38 patients were followed up for 2-17years, average of 3.4 years. The excellent and good rate in the less than 48-hour group of decompression were73% and in the more than 48-hour group were 56%. The cases with complete lesion of CES in these two groups were poor of surgical effect. The surgical effects were related with timeframe of decompression and the degree of damage to the canda equina.Conclusion As a severe neurlogic complications, early diagnosis and operative decompression are advocated in CES.

参考文献/References:

[1] Hussain SA, Gullan RW,Chitnavis BP. Cauda equina syndrome:outcome and implication for management[J].Br J Neruosurg， 2003，17(2): 164-167.
[2] 史建刚，贾连顺，袁 文. 腰椎间盘突出症继发马尾神经综合征手术治疗的疗效[J]. 第二军医大学学报, 2000, 21(7): 664-666.
[3] 王子平，陆耀刚，崔 金，等.腰椎间盘突出症与腰椎管狭窄症伴马尾综合征[J].中国骨与关节损伤杂志，2006，21(11):924-925.
[4] 徐 彬，李 钰，郑仰林. 腰椎间盘突出症合并马尾神经损伤11例[J]. 骨与关节损伤杂志，2000，15(1):58-60.
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[6] Gleave JRW, Macfarlare R. Cauda equina syndrome: what is the relationship between timing of surgery and outcome? [J]. Br J Neurosurg, 2002， 16(4): 325 -328.
[7] Shapiro S. Medical realities of cauda equina syndrome secondary to lumbar disc herniation[J]. Spine, 2000,25(3): 348-352.
[8] Shapiro S. Cauda equina syndrome secondary to lumbar disc herniation[J]. Neurosurgery, 1993， 32(3): 743-747.
[9] Kostuik J, Harrington I, Alexander D, et al. Cauda equina syndrome and lumbar disc herniation[J]. J Bone Joint Surg(Am), 1986， 68(11):386-391.
[10] 高苏宁，赵红军，王 进，等.老年性腰椎间盘突出症的病理和临床特点[J].中国骨与关节损伤杂志，2006，21(11):868-870.
[11] Dinning TAR, Schaeffer HR. Discogenic compression of the cauda equina: a surgical emergency[J]. Aust NZJ Surg, 1993, 63(10): 927-934.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-11-20