小儿脊髓栓系综合征46例诊疗体会
Experiences in Diagnosis and Treatment of 46 Children with Tethered Cord Syndrome
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摘要: 目的分析临床46例脊髓栓系综合征(TCS),对其早期诊断和及时手术治疗进行讨论.方法患者均行神经系统检查、尿流动力学检测和腰骶部MRI检查,并经显微手术行栓系松解,术后疗效按显效、有效和无效进行评定.结果按Kirollos术中栓系松解分级评定方法:42例(91.3%)达到1级,3例(6.5%)达到2级,1例(2.1%)为3级.手术近期疗效:显效19例(41.3%),有效21例(45.6%),无效6例(13.0%).结论 MRI可明确显示引起脊髓栓系的原因,为手术治疗提供可靠依据;手术松解是治疗TCS唯一有效的方法.Abstract: Objective To discuss early diagnosis and treatment of tethered cord syndrome(TCS)by analyzing the clinical data of 46 cases.Method Examinations in nervous system,urodynamic study and MRI were conducted in all cases.The surgical release of TCS was performed in all cases and the therapeutic effectiveness after operation was graded according to the physical improvement of the patients:excellent,effective and ineffective.Results The degree of untethering achieved at surgery for tethered cord syndrome was assess...
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Key words:
- Tethered cord syndrome /
- Clinical feature /
- MRI /
- Diagnosis /
- Operation
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