摘要
目的 :对 14例患有马尾综合征 (CES)患者的发病原因、病变节段及症状的发生情况 ,进行手术的时间以及治疗效果进行了回顾性研究 ,以确定哪些因素影响最终治疗效果。方法 :我院从 1991～ 1997年收治了 14例马尾综合征患者 ,进行了全椎板切除双侧减压术 ,随访 2 2～ 48个月 ,平均 35个月。采用Logistical回归分析进行统计学处理。结果 :14例患者中 11例 ,减压术后 2年得到了满意的效果 ,3例残留功能障碍。结论 :主要是减压手术时间 ,是否存在完全的会阴区麻木和括约肌的严重功能紊乱以及发病急和腰腿痛严重影响总体治疗效果 。
Objective: We examined the cause、level of pathology、onset of symptoms、time taken to treatment and outcome of 14 patients with cauda equina syndrome(CES) to determine how these factors influenced the eventual outcome.Methods:14 patients with CES treated at our hospital between 1991 and 1997 underwent laminectomy followed by bilateral decompression.The mean time of followup was 35 months(range 22～48months).Logistical regression analysis was used to manage the data.Results:Out of 14 patients,11 had satisfactory recovery at 2 years postdecompression;3 patients were left with some residual dysfunction.Conclusion:There was a clear correlation between delayed decompression and the poor overall outcome,as well as the presence of perineal anaesthesia and significant sphicter dysfuncation.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第2期115-117,共3页
Orthopedic Journal of China
关键词
马尾综合征
治疗
影响因素
Cauda equina syndrome
Outcome
Influencing factors
