中国・四国整形外科学会雑誌
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
膀胱直腸障害をきたした腰椎椎間板ヘルニアの治療経験
片山 信昭浦上 征男高杉 茂樹相谷 哲朗
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1995 年 7 巻 2 号 p. 365-369

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We report three cases of lumbar disc herniation with bladder and rectal dysfunction. We performed surgical decompression for all three cases as soon as possible, but duration of symptoms of progressive dysfunction before surgery in each case was three or four days. The patient who had the most serious preoperative dysfunction had unsatisfactory results. In that case, the patient had completely lost anal sphincter tone, and had complete urinary retention before surgery. Another patient who anal sphincter weakness and incomplete urinary retention had satisfactory results. The third patient who had anal sphincter weakness and complete urinary retention also had satisfactory results.
We think that because the prognosis of patient with lumbar disc herniation with bladder and rectal dysfunction depends on preoperative dysfunction, it is important to perform surgery before complete dysfunction develops.
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