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尾巴黄综合征:对分类,诊断,治疗和最佳实践的审查

Arjuna Karikaran¹, Austin H Carroll², Lancelot Benn³

¹Chicago Medical School, Chicago, Illinois.

|February 12, 2025

概括

马尾综合症 (CES) 是一种罕见的脊柱疾病. 迅速的手术减压对于治疗至关重要,尽管最佳时间仍在争论中,以避免显著的患者发病率和医生责任.

科学领域:

神经学神经学
神经外科神经外科
脊髓医学脊髓医学

背景情况:

马尾综合征 (CES) 是一种罕见但严重的疾病,影响脊髓末端的神经根.
症状包括腰部疼痛, sciatica 和肠 / 膀功能障碍,往往导致错过诊断和潜在的法律问题.
它的稀有性导致诊断延迟和显著的患者发病率.

研究的目的:

审查关于CES流行病学,病理生理学,分类和管理的当前文献.
强调诊断,治疗和脊柱外科医生的法律影响.
综合有关手术减压最佳时间的证据.

主要方法:

对Cauda Equina综合征现有研究的综合文献综合.
对诊断和治疗策略的分析.
对报告的发病率和与手术时间相关的结果的审查.

主要成果:

每年报告的每10万个人的CES发病率在0.34到7之间.
关于最佳减压时间 (24小时与48小时) 存在争议,一些研究显示没有差异,而另一些研究则主张立即干预.
延迟诊断是针对医生的法律案件的一个常见因素.

结论:

手术减压是CES的主要治疗方法.
平衡手术紧急情况与并发症风险是关键.
需要进行进一步的研究,以改善 CES 患者的及时识别和治疗.

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