无症状儿童脊髓栓系早期预防性手术治疗研究  

Preventive operation of asymptomatic children with tethered spinal cord

作　　者：蔡明[1,2] 刘建民[1] 修波[3] 

机构地区：[1]第二军医大学长海医院神经外科,上海200433 [2]解放军第251医院神经外科,河北张家口075000 [3]北京军区总医院附属八一脑科医院,北京100700

出　　处：《中华神经外科疾病研究杂志》2016年第1期62-65,共4页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨早期预防性手术治疗对无症状脊髓栓系患儿的影响。方法对28例无症状脊髓栓系患儿进行早期预防性手术治疗,分析其临床特征、手术治疗方法、疗效及并发症。结果住院期间仅有1例出现小便功能障碍,加重率(3.5%)。随访期间1例小便功能障碍恢复,其他患儿均未再出现神经功能障碍。28例患儿术中麻醉均平稳,手术顺利,术后均未发生严重并发症,术后恢复良好。结论早期预防性手术可以有效的治疗脊髓栓系患儿,防止其出现神经功能障碍,手术并发症少,值得临床推广。Objective The effect of preventive operation of asymptomatic children with tethered spinal cord was discussed. Methods A total of 28 asymptomatic children with tethered spinal cord who underwent the preventive operation were analyzed retrospectively to analyze the clinical features, surgical methods, efficacy and complications. Results During hospitalization, sphincteric dysfunction occurred in 1 case with a worsen rate of 3.5%. During the follow-up, the patient with the urinary dysfunction got recovery and no neurological dysfunction was found in other children. The operation was successful with no serious complications and good recovery. Conclusion The preventive operation can be effective in the treatment of tethered spinal cord, which can prevent the nerve dysfunction and reduce the complications.

关 键 词：脊髓栓系 早期手术治疗 预防 

分 类 号：R744.9[医药卫生—神经病学与精神病学]