孕期马尾综合征：一种需考虑的病症。
Cauda equina syndrome during pregnancy: A condition to consider.
作者信息
Viseu Pinheiro Juan Fernando J, Hernández David P, Blanco Juan Francisco B
机构信息
Orthopaedics and Traumatology Department, University Hospital of Salamanca, Paseo de San Vicente 58-182, 37007, Salamanca, Spain.
出版信息
Int J Surg Case Rep. 2018;49:14-16. doi: 10.1016/j.ijscr.2018.05.026. Epub 2018 Jun 12.
INTRODUCTION
Low back pain is a common cause of medical consultation during pregnancy and usually supposes a non-malignant prognostic.
PRESENTATION OF CASES
We report two cases of pregnant women whom suffered cauda equina syndrome during pregnancy and underwent emergency surgery after the birth of their babies.
DISCUSSION
MRI is the main diagnosis method for cauda equina even during pregnancy. Modern obstetric practice asks surgeons to perform surgery under safe conditions at all gestation stages. Surgical decompression reports better prognosis when practiced within the first 48 h after the onset of saddle hypoesthesia.
CONCLUSION
When CES is suspected, after MRI study, emergency surgery is the only solution to improve the condition of these patients.
引言
腰痛是孕期就医的常见原因，通常预后为非恶性。
病例展示
我们报告两例孕妇，她们在孕期患有马尾综合征，并在分娩后接受了急诊手术。
讨论
即使在孕期，MRI也是诊断马尾综合征的主要方法。现代产科实践要求外科医生在所有妊娠阶段的安全条件下进行手术。当在鞍区感觉减退发作后的48小时内进行手术减压时，预后较好。
结论
当怀疑患有马尾综合征时，在进行MRI检查后，急诊手术是改善这些患者病情的唯一解决办法。
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