椎间盘突出导致骶、盆内脏神经功能障碍的病因探讨

Etiological Study of Relationship between Herniated Disk and Sacral Pelvic Splanchnic Nerve Dysfunction

摘要: 目的：探讨椎间盘突出与肛门直肠不适为主要临床表现的骶、盆内脏神经障碍的可能相互关系。方法：回顾我院自2013年1月到2015年1月所接诊及治疗，以腰腿功能障碍为特征的椎间盘突出的手术病例27例。以骶、盆内脏神经功能障碍的临床表现，列表进行回访。结果：本组手术病人27例除一例因手术效果欠佳，拒绝回访外，26例均逐句、逐条获得回访。结论：26例椎间盘突出的手术病人，手术前除腰及下肢功能障碍外，15例合并有肛门直肠、会阴不适、排便不畅及性功能障碍为主要临床特征的骶、盆内脏神经功能障碍。且椎间盘突出的严重程度与骶、盆内脏神经功能障碍无正相关性。手术治疗有效。

Abstract: Objective: To investigate the relationship between herniated disk and sacral pelvic splanchnic nerve dysfunction, with rectum and anal discomfort as the main symptom. Methods: 27 cases of herniated disk with surgical therapy, characterized in lumbar and leg dysfunction, from Jan. 2013 to Jan. 2015, were included. Diagnosis and therapy of patients whose main symptom was acral pelvic splanchnic nerve dysfunction were retrospectively analyzed in frame. Result: 26 cases ac-cepted and 1 rejected because of ineffective surgical therapy. Conclusion: All these 26 cases with surgical therapy got lumbar and leg dysfunction before operation, 15 from whom had acral pelvic splanchnic nerve dysfunction with rectum and anal discomfort, poor cacation, etc. as main symptom. Symptom of acral pelvic splanchnic nerve dysfunction and the stage of herniated disk were not directly related. Surgical therapy was partly effective.