腰椎间盘巨大突出和马尾综合征

Huge lumbar disc protrusion and syndrome of cauda equina

中文关键词:  腰椎间盘巨大突出症,马尾综合征

英文关键词:Huge lumbar disc protrusion,Syndrome of cauda equina

中文摘要:

  本文通过对腰椎间盘突出引起的马尾综合征７６例的临床分析，将本病症分为典型与非典型两种类型。诊断上主要依据病史与理学检查。非典型者比较多见。持久的双侧坐骨神经痛提示有马尾神经损害，鞍区的感觉变化与肛门反射有重要价值．脊髓造影和脊柱ＣＴ扫描检查可明确诊断。马尾综合征一旦确诊，应及早采取手术减压。本组病例在半个月内手术者大多效果满意，急性发病者预后差。持久的下肢麻痛与肛周感觉减退，可作为重要的预测指标。引起本病症的机理尚不清楚。过伸位脊柱损伤、巨大突出物的持久压迫、椎管狭窄与局限性蛛网膜炎的发生均是造成马尾神经损害的重要因素。

英文摘要:

  Seventy-six patients with cauda equina syndrome caused by disc protrusion, spinal injury, stenosis of vertedra canal and adhesive arachnoiditis were treated. There were typical and atypical types. The latter were encountered more. Bilateral persistent s