摘要
目的分析单管型脊髓纵裂的诊断与治疗方法。方法对23例单管型脊髓纵裂患者的神经功能进行临床评分,并检查其胫后神经皮层体感诱发电位(PTNCSEP),按临床表现及是否需要手术治疗分组,探讨手术适应证及疗效。结果7例无临床症状患者随访前后的临床评分及PTNCSEPP40潜伏期无变化;11例非进行性神经功能缺陷患者,无论是否手术,随访前后临床评分及PTNCSEPP40潜伏期亦无变化;5例进行性神经功能缺陷患者,手术后的临床评分及PTNCSEPP40潜伏期明显改善,术中均发现间隔或纤维带等异常结构。结论对单管型脊髓纵裂应按是否存在进行性神经功能缺陷分类并治疗,对进行性神经功能缺陷的患者应及时手术;无症状或非进行性神经功能缺陷患者不宜手术,应长期观察,定期随访。
Objective To analyse the diagnosis and treatment of the single tubular type of diastematomyelia. Methods Clinical scoring and posterior tibial nerve cortical somatosensory evoked potential (PTNCSEP) were performed in 23 cases to define surgical indications and investigate the results of treatment. Results Seven cases without clinical symptoms and 11 cases without progressive neural deficit showed no significant change in terms of clinical scoring and PTNCSEP P40 latent period; while other 5 cases with progressive neural deficit improved after the surgical intervention, and operative findings confirmed that there were fibrous septum or band and other malformations. Conclusion Patients with progressive neural deficit need surgical intervention while those without progressive neural deficit and clinical symptoms only need conservative treatment and routine follow-up.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2003年第5期275-278,共4页
Chinese Journal of Orthopaedics
