脊髓拴系综合征并发皮肤溃疡  

Tethered cord syndrome with cutaneous ulcers

作　　者：韩莉[1] 李俊峰[1] 韩占栋 王展[1] 

机构地区：[1]衡水市第二人民医院皮肤科,河北衡水053000

出　　处：《临床皮肤科杂志》2018年第2期94-95,共2页Journal of Clinical Dermatology

摘　　要：报告1例脊髓拴系综合征并发皮肤溃疡。患者女,25岁。因臀部反复溃疡6个月就诊。皮肤科检查:腰部一直径15cm包块,右臀部一5 cm×10 cm不规则溃疡,表面清洁,少许结痂,周围散在分布溃疡愈合后瘢痕。包块处CT检查示腰椎生理曲度变直,脊髓圆锥下延,平L4椎体中部,L5椎体棘突缺如,椎板未愈合,马尾神经平L5椎体下缘突出椎管,局部脂肪组织突入皮下,背部形成脂肪组织肿块。结合临床表现和实验室检查结果,诊断为脊髓拴系综合征并发皮肤溃疡。予手术治疗,及皮肤溃疡处予清创、换药,治疗后恢复良好,皮肤溃疡未再复发。A case of tethered cord syndrome with cutaneous ulcers is reported. A 25-year-old female presented with re- peated ulcers on the hip for 6 months. Physical examination showed a mass sized 15 cm in diameter on the waist, and an irregular shaped ulcer sized 5 cm x10 cm with a litter scales on the surface on the right buttock. The ulcer was surrounded with ulcerous scars. CT examination of the mass site showed loss of spinal curvature. Conus medullaris moved downward to the level paralleled to the middle of IA. L5 spinous process was absent, along with opened spinous lamina. Cauda equine at lower edge of L5 centrum protruded into canalis vertebralis. Localized expansion of adipose tissue formed subcutaneous mass on the back. According to the clinical manifestation and results of laboratory tests, the diagnosis of tethered cord syndrome with cutaneous ulcers was made. The patient underwent surgery. After debridement and dressing, cutaneous ulcers healed well with no recurrence.

关 键 词：脊髓拴系综合征 皮肤溃疡 

分 类 号：R751[医药卫生—皮肤病学与性病学]