《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (12): 1175-1178.

• 论文 • 上一篇    下一篇

L1爆裂骨折并发单纯圆锥损伤患者术后膀胱功能的相关因素

唐和虎，洪毅，张军卫，白金柱，姜树东，王方永   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院脊柱脊髓外科，北京市 100068。
  • 收稿日期:2011-08-04 修回日期:2011-10-18 出版日期:2011-12-25 发布日期:2011-12-25

Improvement of Bladder Function after Surgery in First Lumbar Burst Fractures Complicated Isolated Conus Medullaris Syndrome

TANG He-hu, HONG Yi, ZHANG Jun-wei, et al.   

  1. Department of Spine, Capital Medical University School of Rehabilitation Medicine,Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2011-08-04 Revised:2011-10-18 Published:2011-12-25 Online:2011-12-25

PDF (PC)

摘要： 目的探讨影响L1爆裂骨折所致单纯脊髓圆锥损伤患者术后膀胱功能改善的相关因素。方法对618例L1爆裂骨折中并发单纯圆锥损伤的25例患者进行回顾性分析。结果术前鞍区感觉减退患者膀胱功能恢复率明显高于鞍区感觉消失患者(P<0.01)；2周内和2周后手术对膀胱功能恢复无显著性差异(P>0.05)。结论术前鞍区感觉与膀胱功能恢复有关。

关键词: 胸腰椎骨折, 脊髓损伤, 圆锥损伤, 脊椎手术, 膀胱功能, 鞍区感觉

Abstract: Objective To explore the factors related with bladder function after surgical intervention in patients with first lumbar burst fractures uniting isolated conus medullaris syndrome (CMS). Methods 25 patients complicated CMS in 618 patients with Ｌ1 burst fracture were analyzed retrospectively. Results The recovery rate of patients with saddle sensation weakness was higher than the patients with saddle sensation disappeared (P<0.05). There was no difference in bladder function between patients accepted surgery within 2 weeks and more than 2 weeks (P>0.05). Conclusion Saddle sensation before surgery related with the recovery of bladder function.

Key words: thoracolumbar fracture, spinal cord injury, conus medullaris injury, spinal surgery, bladder function, saddle sensation