脊髓脊膜膨出的显微外科手术治疗研究  

A study on myelomeningocele microsurgery treatment

作　　者：王涛[1] 张莉[2] 张庆华[2] 夏鹤春[2] 马金邦[3] 孙胜玉[2] 吴亮[2] 刘善贤[2] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏医科大学总医院神经外科,宁夏银川750004 [3]山东省聊城市第二人民医院,山东聊城252000

出　　处：《宁夏医学杂志》2012年第3期223-225,F0003,共4页Ningxia Medical Journal

摘　　要：目的探讨脊髓脊膜膨出(Myelomeningocele,MMC)的诊断以及显微外科手术的疗效。方法回顾性分析73例MMC的临床资料,患者均行MRI检查和神经系统检查,并实施显微外科手术治疗。结果按Kirollos术中松解分级评定1级69例(94.5%),2级4例(5.5%)。术后随访3个月～1年,56例(76.7%)获得随访中,手术近期疗效中显效19例(33.9%),有效32例(57.1%),无效5例(8.9%),无术后病情加重及严重并发症发生。结论 MRI检查是MMC的最有效的检查方法,尽早积极施行显微外科手术是治疗MMC的有效措施。To discuss the clinical diagnosis and therapeutic effect of microsurgery for the myelomeningocele （MMC）. Methods The clinical data of 73 cases were retrospectively analyzed, and the examinations of MRI and nervous system were conducted and the microsurgical treatment for the MMC was performed in all cases. Results The degrees of untethering after microsurgery were based on Kirollos grading system, the results were as follows： 69 cases （94.5%） in Grade I and four cases （5.5%） in Grade Ⅱ. Patients were followed up for from three months to one year and 56 out of 73 cases （76.7%） were followed up, the short term curative effectiveness in 73 patients were as follows： 19 cases （33.9%） were excellent, 32 cases （57.1%） were improved, 5 cases （8.9%） were not changed and no case （0.0%） were aggravated. Conclusion The MRI examination is the most effective method of MMC for diagnosing, and the microsurgery is the most effective measure for MMC treatment as early as possible.

关 键 词：脊髓脊膜膨出 脊髓栓系综合征 磁共振成像 显微外科手术 

分 类 号：R651.2[医药卫生—外科学]