脊髓栓系综合征1224例临床诊疗分析  

Clinical analysis of the Tethered cord syndrome in 1224 Cases

作　　者：崔志强[1] 修波[1] 萧凯[1] 罗天宝[1] 段宏宇[1] 

机构地区：[1]清华大学玉泉医院脊髓脊柱外科,北京100049

出　　处：《中国医刊》2010年第11期31-33,共3页Chinese Journal of Medicine

摘　　要：目的通过对1224例脊髓栓系综合征临床数据分析评价脊髓栓系综合征显微外科治疗疗效。方法患者均行神经系统检查和MRI检查,并经显微外科手术治疗,手术前后相应地应用尿动力学、神经电生理等检查监测手段。术后疗效按显效、有效、无效和加重进行评定。结果按Kirollos术中松解分级评定方法1197例(97.7%)达到Ⅰ级,19例(1.5%)达到Ⅱ级,8例(0.7%)为Ⅲ级。手术近期疗效:显效174例(14.2%),有效891例(72.8%),无效153例(12.5%),加重6例(0.5%)。结论尽早地并以显微外科手术治疗脊髓栓系综合征已达成共识。MRI检查、尿动力学以及神经电生理的临床应用可以提高脊髓栓系综合征的治疗疗效。Objective To discuss the rapeutie effect of microsurgery treatment of tethered cord syndrome by analyzing the clinical data of 1224 cases. Methods Examinations in nervous system and MRI were conducted. By monitor of Electropysiology and Urodynamies, the mierosurgical treatment of Tethered cord syndrome was performed in all cases and the therapeutic effectiveness after operation was graded according to the physical improvement of the patients： excellent, effective ineffective and aggravation. Results The degree of untethering at microsurgery which is based on Kirollos grading system is assessed： Grade Ⅰ in 1197 cases （97.7%） , Grade Ⅱ in 19cases （ 1.5% ） , Grade rain 8cases （0.7%）. Recent curative effectiveness in 1224 patients was recorded, among them 174eases（ 14.2% ） excellent, 891 cases （72.8%） improved, 153eases （ 12.5% ） not changed and 6 ease（0.5% ） aggravated . Conclusion It is achieved the mutual recognition that Tethered cord syndrome is treated as soon as possible by the microsurgery surgery . Clinical practice of MRI, dynamics as well as the neuroelectricity physiology may enhance curative effect of Tethered cord syndrome.

关 键 词：脊髓栓系 显微手术 神经电生理 尿动力学 

分 类 号：R726.1[医药卫生—儿科]