早期手术治疗腰椎间盘突出症伴马尾神经损伤

被引:4
作者
谭俊铭
史建刚
袁文
叶晓健
何海龙
史国栋
贾连顺
李家顺
机构
[1] 上海长征医院骨科
关键词
马尾综合征; 腰椎间盘; 手术,减压; 结果;
D O I
暂无
中图分类号
R687.3 [骨骼手术];
学科分类号
100220 [骨科学];
摘要
目的探讨腰椎间盘突出症伴马尾神经损伤起病48小时内手术治疗的疗效。方法明确马尾综合征(CES)的22例患者行急诊经关节突内侧潜行椎板/半椎板切除减压手术且获随访。结果22例患者(男13例、女9例)的平均年龄为42.5岁(23~68岁),平均随访42个月(24~72个月),均在CES发生48小时内手术。术后6个月,除1例外,其他患者均获得显著的神经功能康复。结论CES发病48小时内手术,尤其术中高度重视根管的充分彻底减压,有助于CES患者的功能恢复。
引用
收藏
页码:366 / 369
页数:4
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