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| 儿童脊髓纵裂畸形诊治体会 | |
| 引用本文： | 蔡春泉,张庆江,申长虹,杨卫东,马骁,孙宁,王春祥.儿童脊髓纵裂畸形诊治体会[J].中华全科医师杂志,2008,7(10):709-712. |
| 作者姓名： | 蔡春泉 张庆江 申长虹 杨卫东 马骁 孙宁 王春祥 |
| 作者单位： | 1. 天津市儿童医院神经外科,300074 2. 天津医科大学总医院神经外科 3. 天津市儿童医院放射科,300074 |
| 摘 要： | 26例脊髓纵裂畸形患儿均行MRI检查确诊，参照Pang＇s分型，Ⅰ型14例，Ⅱ型12例。手术治疗的20例患儿术后神经功能均有明显改善，未手术治疗的4例（2例患儿失访）中3例出现不同程度的症状加重趋势。脊髓纵裂畸形Pang＇s分型简单实用，有利于反映病理形态、指导手术；影像检查（包括MRI、CT及X线片）对该症有确诊意义；手术的目的是解除脊髓栓系，停止脊髓损伤。 |
| 关 键 词： | 神经管缺损 儿童 临床分析 治疗方法 |
Diagnosis and treatment of split cord malformations in children |
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| CAI Chun-quan,ZHANG Qing-jiang,SHEN Chang-hong,YANG Wei-dong,MA Xiao,SUN Ning,WANG Chun-xiang.Diagnosis and treatment of split cord malformations in children[J].Chinese JOurnal of General Practitioners,2008,7(10):709-712. | |
| Authors: | CAI Chun-quan ZHANG Qing-jiang SHEN Chang-hong YANG Wei-dong MA Xiao SUN Ning WANG Chun-xiang |
| Institution: | CAI Chun-quan, ZHANG Qing-jiang, SHEAf Chang-hong, YANG Wei-dong, MA Xiao, SUN Ning, WANG Chun-xiang(Department of Neurosurgery, Children＇s Hospital, Tianjin 300074, China) |
| Abstract: | We retrospectively analyzed clinical and imaging data of 26 children with split cord malformations (SCMs). Based on Pang's classification, 14 SCMs were defined as type Ⅰ and 12 as type Ⅱ.Neural function was markedly improved in 20 patients postoperatively. Three of 4 children who did not undergo surgical treatment had neural function deteriorated. Two children lost follow-up. We suggest that Pang's Classification of SCMs may be useful in describing pathological changes and guiding surgical procedure; imaging examine (including MRI, CT and X-ray) would play a significant role in confirmed SCMs diagnosis; and surgical operation should focus on eliminate and prevent spinal cord damnification. |
| Keywords: | Neural tube defects Child |
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