【摘要】 目的:探讨术中应用超声乳化治疗脂肪瘤型脊髓拴系综合征的疗效。方法:自2001年3月收治脂肪瘤型脊髓拴系综合征患者32例,术中均采用超声乳化切除脂肪瘤,临床上采用Hoffman功能性分级,术前及随访时均行电生理检查,对15例尿失禁患儿行尿动力学检查,随访观察治疗效果。结果:全部病例随访6￣53个月,平均27个月。临床上Hoffman分级无加重,体感诱发电位(somatosensoryevokedpotential,SEP)明显改善(P<0.05),伴尿失禁患者尿动力学主要参数亦均有显著性改善(P<0.01)。结论:应用超声乳化治疗脂肪瘤型脊髓拴系综合征可取得较好治疗效果。更多还原

【Abstract】 Objective:To evaluate the effects of the application of ultrasonic emulsification and aspirating in treatment of lipomatous tethered cord syndrome.Method:32 cases were identified as lipomatous TCS since March 2001.All patients underwent the procedure with ultrasonic emulsification and aspirating.The lipoma was resected and absorbed.The clinical outcome was assessed according to Hoffman′s functional grading criteria.All patients underwent electrophysiological examination and 15 urine incontinent patients underwent urodynamic examination.Result:All were followed-up more than 6 months(from 6 to 53 months,average 27 months).There were no deterioration postoperatively.SEP was improved significantly(P<0.05).And the main urodynamic index was significantly improved in the 15 cases(P<0.01).Conclusion:The clinical outcome can be improved with application of ultrasonic emulsification and aspirating in treatment of tethered cord syndrome with lipoma.更多还原