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頁籤選單縮合
題名 | Cauda Equina Syndrome in Lumbar Disc Herniation=腰椎間盤突出症合併馬尾症候群之治療 |
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作者姓名(中文) | 黃聰仁; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 25:2 民81.03-04 |
頁次 | 頁1094-1101 |
分類號 | 416.61 |
關鍵詞 | 腰椎間盤突出症; 馬尾症候群; |
語文 | 英文(English) |
中文摘要 | 從民國七十六年一月到七十九年十二月,四年期間,共有七位病人因腰椎間盤突出症且合併馬尾症候群接受手術治療。其中男性六位,女性一位,年齡分佈由三十歲到五十七歲不等(平均四十一歲)臨床上,七位病人中只有二位有典型的馬尾症候群表現。依臨床症狀,可將病人分為二組。A組有五位,表現為急性發作;B組二位病人,都有一長時間的先驅症狀如背痛,下肢痛或小便困難情形。所有病患術前都有小便滯留現象。本文發現發作的急慢性,發作到減壓手術時間,以及單、雙側坐骨神經痛或術前運動功能缺損的程度與術後膀胱功能之恢復並無關聯。但是馬鞍部感覺之恢復程度卻與膀胱功能之恢復呈有意義的關連。本文發現運動功能的恢復程度為最差,有二位病人在追踪時仍呈現垂足現象。七位病患從發作到接受手術時間平均為1.9天,如能及早施予手術,病患仍能恢復正常的膀胱功能。 |
英文摘要 | Between January 1987 and December 1990, seven patients with cauda equina syndrome (CES) due to lumbar disc herniation were operated on at Chang Gung Memorial Hospital. There were six men and one woman, age ranged from 30 to 57 years (average, 41 years). In this series, the classic CES was seen in only two patients. There were two types of clinical presentation. Group A (five patients) had acute, more severe symptoms; and group B (two patients) was characterized by prior symptoms of varying duration before the gradual onset of the CES. Preoperatively, all patients presented with the urinary retention. There were no clear correlation among types of the onset, the length of time between the onset of symptoms and surgery, the unilateral or bilateral sciatica, the severity of motor deficit and the degree of the recovery of the bladder function. However, the improvement of saddle sensation did have correlation with the recovery of the bladder function. In this series, the motor function was most seriously affected; two patients presented with dropfoot preoperatively and remained postoperatively. In group A, the average time between the onset of symptom and surgery was 1.9 days. The early surgery could achieve the better recovery of the bladder function. |
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