摘要
为探讨小儿脊髓拴系综合征（ＴＣＳ）的发病机理、临床表现、诊断和治疗，对１９８６年６月～１９９４年６月手术治疗的４６例患儿进行分析。临床凡有排尿、排便障碍，下肢感觉、运动障碍，足畸形等症，体检发现隐性脊柱裂、显性脊柱裂（脊髓脊膜膨出）或曾行脊膜膨出手术的患儿均可疑为该病。磁共振（ＭＲＩ）和Ｍｅｔｒｉｚａｍｌｕｅ脊髓造影ＣＴ检查可确定诊断。本组术后随访１～８年，手术有效率５２％。该病一经确诊即应尽早行脊髓拴系松解术，以缓解症状，减少神经系统病残率。
In order to confirm the diagnosis,MRI or CTMM(CT myelography with Metrizamide)examination was done in 46 cases suspected to be tethered spinal cord syndrome(TCS). Hoffmann's grading scheme was used before and after operation for eveluating the surgical effects. All of them were followed-up for 1 to 8 years. The results were as follows: 24 cases(52%)improved,16 cases(35%)unchanged,4 cases(9%)got worse and 2 died.The authors consider that MRI or CTMM examination should be done for children suspected of TCS.An operation to release,the tethered spinal cord should be performed as soon as the diagnosis is established to remit the symptoms and neurogenic disorders.
出处
《中华小儿外科杂志》
CSCD
1996年第2期105-107,共3页
Chinese Journal of Pediatric Surgery
关键词
儿童
脊髓拴系综合征
诊断
治疗
Spinal cord disease
Meningomyelocele
Spina bifida
