摘要
目的探讨神经内镜下手术治疗脊髓栓系综合征(TSCS)的方法和临床疗效。方法2007至2010年山西省人民医院对21例(男13例,女8例,年龄平均12.5岁)经MRI确诊为TSCS的患者在神经内镜下进行了脊髓栓系松解手术,并进行疗效观察。结果本组无死亡病例及严重并发症发生;21例患者术后随访0.5~3年,18例原有症状有不同程度改善,3例术后病情无明显变化,但也无神经功能障碍和下肢畸形的加重,总有效率85.71%。结论神经内镜下治疗TSCS的手术方法安全有效、创伤小、疗效满意。
Objective To investigate the methods and efficacy of neuroendoscopic operation in the treatment of tethered spinal cord syndrome (TSCS). Methods A total of 21 cases were recruited. There were 13 males and 8 females with an average age of 12. 5 years old. TSCS was diagnosed by magnetic resonance imaging (MRI). They were operated under neuroendoscope. Results No complication was found during a follow-up period of 0. 5 - 3 years. The symptoms improved in 18 cases. Neither obvious improvement nor aggravation was found in 3 cases. The total effective rate was 85.71%. Conclusion Neuroendoscopic treatment of TSCS is both safe and effective.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2011年第25期1746-1748,共3页
National Medical Journal of China