摘要
本文报告28例腰椎间盘突出症并发马尾综合征病人。作者就该病的发病机制、诱因、诊断及手术等有关的问题进行了探讨。认为该病处理的关键是早期诊断和及早手术。诊断主要依靠临床表现和CT检查；腰椎管造影术可加重马尾损伤，因此要慎重选择。手术应采用单处开窗或多处开窗，既能进行椎管减压和髓核摘除，又能保护脊柱稳定性。手术应尽量避免马尾神经的继发损伤。术后随访0．5～3．5年（平均1．5年），优良率为85．7％。
We repeed 28 cases of lumbar disc hreniation combined with cauda equina syndrome and discussed the pathogenesis, predisposing factors, diagnosis and surgical interention of the disease.The authors thought that the of this disease depends upon clinical manifestration and CT examination. Lumbar myolography may aggravate cauds equina syndrome and should be coroidered carefully. Most patients were undergone decompression of lumbar canal and excision of hemiated disc through one or more laminal fenestrations in order to protect the spinal stability. The iatrogenic injury of cauda eqnina should be prevented during operation. All of the patients were followed up for 0.5 to 3.5 years(mean 1.5 years)postoperatively. The excellent and good rates were 85.7%.
出处
《颈腰痛杂志》
1997年第2期84-86,共3页
The Journal of Cervicodynia and Lumbodynia
关键词
椎间盘突出
马尾综合征
诊断
腰椎
Lumbar disc herniation, Cauda equina syndrome, Diagnosis, Surgical intervention
