外科干预改善马尾神经综合征患者下肢功能和缓解腰腿痛(英文)

Surgical treatment of lower extremity function and lumbocrural pain secondary to cauda equina syndrome

目的根据马尾神经综合征发病机制的临床研究和临床治疗现状,观察外科干预术式改善马尾神经综合征患者的下肢功能,缓解腰腿痛的效果。方法对长征医院31例(男22例,女9例)马尾神经综合征患者的临床资料进行分析。结果常规术式效果:优(A)7例,良(B)4例,好转(C)3例,差(D)6例;改良术式效果:优(A)3例,良(B)2例,好转(C)4例,差(D)5例。结论马尾神经综合征的改良术式能有效地改善患者下肢功能,缓解腰腿痛。

Aim According to the study of pathology of cauda equina syndrome,we mentioned improved surgical treatment of cauda equina syndrome in order to improve its curative effect.Methods Thrity one patients(22 males and 9 females) with cauda equina syndrome in Changzheng Hospital entered this study.Discontinous laminectomy and non trauma incision of spinal ganglion was the main surgical technology.Results After using standard operation,7 cases achieved excellent effect,4 cases achieved good effect,3 cases turned better and 6 cases almost achieved no effect;After using improved operation,3 cases achieved excellent effect,2 cases achieved good effect,4 cases turned better and 5 cases almost achieved no effect.Improved surgical treatment of cauda equina syndrome made spinal ganglion decompression instantly.The effect of decompression laminectomy and non trauma incision of spinal ganglion was better than only decompression laminectomy.Conclusion Improved surgical treatment of CES is the better means of treatment of lower extremity function and lumbocrural pain secondary to cauda equine syndrome.<P>