摘要
目的: 探讨马尾神经综合征临床发病特点, 分析其分期。方法: 分析马尾神经综合征患者的临床表现、实验室检查和影像学检查的变化规律。结果: 马尾神经综合征的临床主要表现为鞍区感觉、大小便、性功能障碍,首发症状为感觉功能的障碍, 继而出现括约肌功能及性功能的障碍。临床表现出现前BCR (bulbo cavernosus reflex)、ICR (ischio cavernosus reflex) 等已有明显异常。影像学研究认为, 大部分表现为多节段椎管狭窄。结论: 马尾神经综合征分前期、早期、中期、晚期。电生理改变和鞍区感觉的功能改变是早期诊断的指标。在前期、早期诊断马尾神经综合征称为早期诊断。
Objective:To study the clinical stage of cauda equina syndrome by clinic data.Method:Probe into clinical stage of cauda equina syndrome by clinical features and laboratory tests and radiographic features and natural history.Result:The clinical symptoms of cauda equina syndrome(CES) are manifest by low back pain,sciatica,saddle and perineal hypoesthesia or anesthesia,a decrease in anal tone,absent ankle,knee,or bulbocavernous reflexes,and bowel and bladder dysfunction.The literature continues to be conflicting.The first symptoms is saddle and perineal hypoesthesia or anesthesia.The second is a decrease in anal tone,absent ankle,knee,or bulbocavemous reflexes,and bowel and bladder dysfunction.Laboratory tests (BCR.ICR) had been abnomal before cauda equina syndrome.Conclusion:Cauda equina syndrome was divided into the fourth stage.Early diagnosis is that cauda equina syndrome was diagnosed in laboratory stage or clinical early stage.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第7期491-493,共3页
Orthopedic Journal of China
基金
国家自然基金资助课题(项目批准号: 500423)
关键词
马尾神经综合征
临床分期
早期诊断
Cauda equina syndrome(CES)
Clinical stage
Early diagnosis
