Nielsen B, de Nully M, Schmidt K, Hansen R I
Urol Int. 1980;35(3):167-70. doi: 10.1159/000280317.
Among 1,972 patients operated upon because of lumbar disc herniation in a 7-year period (1971-1978), cauda equina syndrome was diagnosed in 26 patients. 22 patients had follow-ups 4-72 months postoperatively (average 37 months). At follow-up half of the patients had histories of normal micturition and only 6 patients made serious micturition complaints. One third were free from lumbar or sciatic pain, two thirds complained of distressing pain and neurological symptoms. The urodynamic investigation revealed complete bladder emptying in all but 1 patient. In half of the patients normal detrusor contraction was demonstrated, while one third of the patients voided by straining only. Preoperative micturition symptoms exceeded 2 days in almost all patients voiding by straining. This finding indicates a connection between early diagnosis and treatment, and the degree of detrusor damage.
在1971年至1978年的7年时间里，因腰椎间盘突出症接受手术的1972例患者中，有26例被诊断为马尾综合征。22例患者术后4至72个月进行了随访（平均37个月）。随访时，一半的患者有正常排尿史，只有6例患者有严重的排尿主诉。三分之一的患者无腰腿痛或坐骨神经痛，三分之二的患者抱怨有痛苦的疼痛和神经症状。尿动力学检查显示，除1例患者外，所有患者膀胱均能完全排空。一半的患者表现出逼尿肌正常收缩，而三分之一的患者仅通过用力排尿。几乎所有通过用力排尿的患者术前排尿症状超过2天。这一发现表明早期诊断和治疗与逼尿肌损伤程度之间存在关联。
