腰神经根鞘膜切开减压在重症腰神经卡压症术中的应用

Lumbar nerve root epineurolysis decompression for severe nerve compression syndromes

目的探讨重症腰神经卡压症术中行神经根鞘膜切开减压的方法和临床效果。方法选择术前有严重肢端麻木和剧烈根性疼痛的腰神经卡压症46例,行神经外压迫解除后切开神经根鞘膜减压。结果22例术后24h内症状完全消失,24例术后15d内症状完全消失,平均治愈时间为6d。结论神经外压迫解除后切开神经鞘膜减压能显著缓解重症腰神经卡压症状,加速神经功能恢复。

Objective To investigate the operation method and effect of lumbar nerve root epineurolysis decompresison for severe nerve compression syndromes. Methods 46 cases of lumbar nerve compression syndromes with severe extremity end numbness and radicular pain were undergone operation. All were performed local decompression and epineurolysis. Results The symptom disappeared in 24 hours in 22 cases and in 15 days in 24 cases, with 6 days on average. Conclusions After extra neural decompression, epineurolysis can significantly release the symptom of lumbar nerve compression syndromes and improve the neural function recovery.