小儿脊髓栓系综合征尿动力学检查及手术治疗  

Urodynamic examination and surgery treatment for infants and children with tethered cord syndrome

作　　者：刘福云[1] 师红[1] 齐艳[2] 文建国[2] 徐尚恩[1] 杨启政[1] 

机构地区：[1]郑州大学第三附属医院小儿外科,郑州450052 [2]郑州大学第一附属医院尿动力学中心,郑州450052

出　　处：《郑州大学学报（医学版）》2003年第2期158-162,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省杰出人才创新基金 0 2 2 10 0 2 0 0 0;河南省杰出青年科学基金0 2 12 0 0 0 110 0

摘　　要：目的 :探讨小儿脊髓栓系综合征 (tetheredcordsyndrome,TCS)的临床表现 ,尿动力学、B超等检查及治疗方法。方法 :对收治的TCS患儿 1 97例 ,从临床表现、尿动力学等检查结果、手术方法及疗效方面进行了分析。结果 :1 97例小儿TCS伴有神经源性膀胱 1 39例 (71 % )。尿动力学检查可以诊断神经源性膀胱并可将其分类。采用显微手术脊髓栓系松解治疗并不断改进治疗方法 ,有效率达 65 %。结论 :神经源性膀胱是小儿TCS最常见最严重最难治疗的症状 ,尿动力学检查是诊断、分类TCS的理想方法。彻底暴露。Aim:To study the clinical features, urodynamic study, and treatment for infants and children with tethered cord syndrome (TCS).Methods:The clinical features, urodynamic study, and effects after operation for 197 infants and children with TCS were analyzed.Results:Neurogenic bladder (NB) was found in 71% of cases (139/197). NB could be diagnosed and classified by urodynamic study. Modified microscopic operation produced good results with improvement of clinical symptoms in 65% cases.Conclusion:NB is the most common and serious symtoms which is difficult to treat for infants and children with TCS.Urodynamic study is ideal in diagnosis and classification of NB. NB and other symptoms in infants and children with TCS could be cured by microscopic operation of releasing conus medullaris and nerve roots.

关 键 词：小儿 脊髓栓系综合征 尿动力学检查 手术治疗 

分 类 号：R745.4[医药卫生—神经病学与精神病学]