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脊髓栓系综合征术后疗效与病理类型关系的探讨
Correlation Between Pathological Classification and Operative Results of Tethered Cord Syndrome
【摘要】 目的 探讨脊髓栓系综合征(TCS) 术后疗效与病理类型的关系。方法 随访TCS术后患儿45 例, 通过临床评分, 观察术后疗效, 并分析与病理类型的关系。结果 患儿术后神经症状多有所改善或无变化, 部分出现症状恶化。脂肪瘤型术后评分(6.80 ±3.16) 显著低于术前(8 .60 ±4.64), 并低于非脂肪瘤型(9.28±4 .65) 。病程越短, 术后效果越好。结论 TCS松解术目的在于阻止神经症状的发生及发展, 提倡早期手术。病理分型对判断预后有重要价值
【Abstract】 Objective To establish the relationship between pathological classification and the operative results in patients suffering from tethered cord syndrome (TCS). Methods Forty five patients who were operated on for tethered cord syndrome were followed up. The operative results were assessed with clinical score. The relationship between the pathological classification and surgical results were analyzed. Results Clinically, most of the patients remained unchanged or improved symptomatically. A few patients deteriorated. In patients associated with lipoma, the post operative score deteriorated whereas in those without, the score improved. The difference was statistically significant. The shorter the pre operative course, the better the surgical result. Conclusions Tethered cord release prevents development of neurological defect. Early operation is indicated. Pathological classification is predictive of the operative results.
- 【文献出处】 中华小儿外科杂志 ,CHINESE JOURNAL OF PEDIATRIC SURGERY , 编辑部邮箱 ,1999年04期
- 【分类号】R726.5
- 【被引频次】19
- 【下载频次】95