微创治疗脊髓栓系综合征的疗效分析  

Minimally Invasive Management of Tethered Cord Syndrome

作　　者：王向阳[1] 任新亮[1] 武金有[1] 茹小红[1] 赵建疆[1] 

机构地区：[1]长治医学院附属和济医院神经外科,046011

出　　处：《长治医学院学报》2005年第1期20-22,共3页Journal of Changzhi Medical College

摘　　要：目的:探讨脊髓栓系综合征的临床特征及微创外科手术治疗效果。方法:分析43例脊髓栓系综合征患者的临床表现、病理学改变以及经微创手术切除脂肪瘤或切除瘢痕、松解粘连、切断终丝后的效果,并结合文献报道进行论述。结果:治疗后32例( 74% )的症状得到改善,1 1例( 2 6% )临床症状无明显改善者,随访亦无继续加重。结论:脊髓栓系综合征的早期诊断和微创手术充分松解切断增粗变短的终丝,是治疗并获得满意效果的关键。Objective:To assess the clinical character and operative results of 43 cases with tethered cord syndrome(TCS). Methods Forty-three patients with TCS were treated microsurgically and their clinical data were analyzed retrospectively. Results 32 cases(74%) of patients with TCS showed significant improvement. 11 cases(26%) remained unchanged ,and their situation held stable in the followed-up investigation. Conclusions Early diagnosis and minimally invasive technology are the keys to a successful outcome.

关 键 词：脊髓栓系综合征 微创治疗 脊髓脊膜膨出 终丝 

分 类 号：R651.2[医药卫生—外科学]