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圆锥和马尾病变患者的球海绵体反射

Bulbocavernosus reflex in patients with conus medullaris and cauda equina lesions.

作者信息

Ertekin C, Reel F, Mutlu R, Kerküklü I

出版信息

J Neurol Sci. 1979 Apr;41(2):175-81. doi: 10.1016/0022-510x(79)90036-4.

DOI:10.1016/0022-510x(79)90036-4
PMID:438850
Abstract

The clinical value and practical application of the electrically induced BC reflex was investigated in 40 patients with traumatic or compressive lesions of the conus medullaris or cauda equina. It was shown that the BC reflex was either absent or delayed depending upon the invovlement of the sacral 2--4 spinal and radicular segments. The latency of the BC reflex was normal in patients with mainly epiconus and lumbar cord involvement. The loss of the BC reflex in the acute period of traumatic lesions was an adverse prognostic sign while the presence of the reflex whether or not delayed, indicated a more benign final outcome of sphincter and sexual reflex disturbances. In chronic progressive compression, the latency of BC reflex was often delayed.

摘要

对40例圆锥或马尾创伤性或压迫性损伤患者的电诱发球海绵体反射的临床价值及实际应用进行了研究。结果表明,根据骶2 - 4脊髓和神经根节段的受累情况,球海绵体反射要么消失,要么延迟。主要为圆锥上和腰髓受累的患者,球海绵体反射潜伏期正常。创伤性损伤急性期球海绵体反射消失是不良预后征象,而无论是否延迟,该反射的存在提示括约肌和性反射障碍的最终结局更良好。在慢性进行性压迫中,球海绵体反射潜伏期常延迟。

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Prediction of the outcome of bladder dysfunction based on electrically induced reflex findings in patients with cauda equina syndrome: A retrospective study.基于马尾神经综合征患者电诱发反射结果预测膀胱功能障碍的结局:一项回顾性研究。
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