显微外科手术治疗儿童脊髓纵裂Ⅰ型的效果  

Effect of Microsurgical Treatment in Children with Type Ⅰ Diastematomyelia

作　　者：杜成华[1] 孙志刚[1] 姜岩[1] 刘畅[1] 王建[1] 佟强[1] 包金锁[1] 

机构地区：[1]内蒙古民族大学附属医院神经外科,通辽028007

出　　处：《医学研究杂志》2016年第1期163-165,共3页Journal of Medical Research

摘　　要：目的探讨显微外科手术治疗儿童脊髓纵裂I型的效果。方法对内蒙古民族大学附属医院2010年3月～2014年9月行显微外科手术治疗的I型儿童脊髓纵裂患者进行回顾性调查分析，共80例。所有患者均行神经系统、CT及MRI检查。术前行尿流动力学，电生理等检查。术后根据临床表现、尿流动力学、电生理等结果进行对比，判定疗效。结果术后随访患者6～60个月，根据临床效果及一系列检查：80例患儿，术后痊愈2例（2．5％），显效28例（35％），有效42例（52．5％），无效8例（10％），总有效率90％。神经电生理检查提示，术前、术后差异有统计学意义（P〈0．05），膀胱顺应性在术前、术后差异有统计学意义（P〈0．05）。结论显微外科手术治疗儿童脊髓纵裂I型的疗效好，且结合神经电生理和尿流动力学监测可提高治疗疗效。Objective To discuss the therapeutic effect of microsurgicahreatment for children with type I diastematomyelia. Methods A retrospective study was conducted. All data of patients admitted to the Affiliated Hospital of Inner Mongolia University for the Nationalities from Mar 2010 to Sep 2014 were retrospectively analyzed. The total patients were 80. All the patients were diagnosed by the nervous system examination, CT and MRI. Urodynamics and electrophysiological were performed before and after surgery. The thera- peutic effectiveness after operation was analyzed by clinical symptoms, urodynamics and electrophysiological examination in the patients. Results The 6 - 60 months follow - up showed that recovery in 2 cases（2.5% ） , excellent in 28 （35%） , effective in 42 （52. 5% ） and ineffective in 8（ 10% ） , respectively. The markedly effective rate was 90%. There was significant difference in urodynamics and electrophysiological examination between pre - operation and post - operation. Conclusion The microsurgery in treatment of children with type I diastematomyelia was excellent. Combined with urodynamics and electrophysiological examination can improve the therapeutic efficacy.

关 键 词：显微外科手术 I型脊髓纵裂 儿童 

分 类 号：R720.5[医药卫生—儿科]