小儿脊髓栓系综合征早期诊断与显微手术治疗

目的 探讨分析小儿脊髓栓系综合征(TCS)早期诊断与早期手术的价值。方法 对36例患儿的病史、临床症状、X线片、MRI资料、手术病理所见、随诊结果等进行回顾性分析。结果 1)原发性者均有腰骶部包块或皮肤凹陷和毛发,继发性者均有腰骶脊膜膨出或腰骶部包块手术史;2)MRI表现与手术病理所见一致;3)早期正确手术治疗者治疗效果较佳。结论 MRI检查是早期诊断首选方法。一经诊断,应及时行显微手术治疗。

Early Diagnosis and Microsurgical treatment of Pediatric TCS

Objective To explore the value of early diagnosis and operation of pediatric tethered cord syndrome (TCS). Methods The history, clinical symptom, data of MRI, surgical pathologic findings and results of followed up in thirty-six patients were retrospectively analysed. Results 1) The patients with primary TCS all had lumbosacral mass or cutaneous excavetion and hair. The patients with secondary TCS all had the history of surgery for lumbosacral mass or meningocele 2) MRI images were accorded with surgical pathologic findings. 3)Patients undergone early surgical treatment had better outcome. Conclusions MRI examination is perfect choice for early diagnosis. The TCS should be diagnosed as early as possible and the Microsurgical operation should be performed in time.