摘要
目的 探讨先天性脊柱裂与脊髓栓系综合征的手术特点及治疗经验。方法 脊柱裂与脊髓栓系综合征是一种先天性疾病。本文总结了 1993年 9月～ 2 0 0 3年 2月收治的 5 2 8例先天性脊柱裂与脊髓栓系患者的显微手术情况。年龄 5个月～ 4 5岁 (平均 9岁) ,其中脊膜膨出 2 39例 (4 5 3% ) ,脊髓脊膜膨出 12 3例(2 3 3% ) ,脊柱裂伴脂肪瘤 10 7例 (2 0 3% ) ,隐性脊柱裂 5 9例 (11 2 % )。结果 在手术的 5 2 8例患者中 ,临床症状改善 32 2例 (6 1% ) ,无变化 194例 (36 7% ) ,症状加重 12例 (2 3% )。结论 对于脊柱裂手术 ,除了要去除局部硬脊膜囊及其他组织的压迫和松解脊髓栓系外 ,还应考虑病人的远期再粘连问题。
Objective To discuss the main features and experiences of surgical treatment of congenital spinal bifida and tethered cord syndrome. Methods Spinal bifida and tethered cord syndrome are congenital malformations. A study was conducted to analyse the morphology and the microsurgical operation of the diseases. During the Sept, 1993 to Feb, 2003, 528 patients were admitted to the hospital. The age ranged from 5 months to 45 years old (mean age 9 years). 239 cases(45.3%) were diagnosed as myelomeningocele, 123 cases(23.3%) were meningocele, 107 (20.3%) were spinal bifida with lipoma, and 59 cases of spinal bifida occulta (1.2%). Surgical removal of the arachnoid cyst and lipoma relieved compression of the spinal dural sac and the tethered spinal cord. Results Improvement was achieved in 322 cases (61%), no improvement in 194 cases (36.7%), and exacerbation of symptoms in 12 cases (2.3%). Conclusion Careful planning for the surgical treatment of spinal bifida is imperative. It is also important to release the compression tissues, in the spinal canal and to loosen the tethering.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2003年第12期1067-1068,共2页
Medical Journal of Chinese People's Liberation Army
基金
高等学校骨干教师资助计划项目
