Møller C M, Søgaard I
Neurokirurgisk afdeling U, Odense Universitetshospital.
Ugeskr Laeger. 1995 Aug 14;157(33):4561-3.
In order to reduce the number of patients with a complete cauda equina-syndrome we reviewed the records of 63 surgically treated patients with lumbar root compression and bladder symptoms. Patients with a complete cauda equina-syndrome were excluded. Twenty-seven (43%) patients were admitted to the neurosurgical department more than 24 hours after the onset of bladder symptoms, an unacceptable delay mainly due to the reluctance of the patients to seek medical attention. The bladder symptoms remitted completely in 61 patients (97%). In spite of this the partial cauda equina-syndrome can still progress to a complete syndrome, so we recommend that all patients receiving conservative treatment for a lumbar disc prolapse should be advised to seek medical attention should voiding problems arise.
为了减少完全性马尾综合征患者的数量，我们回顾了63例接受手术治疗的腰椎神经根受压并伴有膀胱症状患者的记录。完全性马尾综合征患者被排除在外。27例（43%）患者在膀胱症状出现24小时后才被收入神经外科，这种延迟是不可接受的，主要原因是患者不愿就医。61例（97%）患者的膀胱症状完全缓解。尽管如此，部分马尾综合征仍可能进展为完全性综合征，因此我们建议，所有因腰椎间盘突出症接受保守治疗的患者，若出现排尿问题，应建议其就医。
