| 29例脊髓栓系综合征诊疗体会 |
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| 引用本文： | 彭自强,肖增明,李挺松.29例脊髓栓系综合征诊疗体会[J].中国现代医生,2008,46(2):34-35. |
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| 作者姓名： | 彭自强 肖增明 李挺松 |
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| 作者单位： | 1. 湖南省东安县人民医院,湖南东安,425900
2. 广西医科大学第一附属医院脊柱骨病科,南宁,530021 |
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| 摘 要： | 目的 探讨脊髓栓系综合征的影像学特点及手术治疗效果。方法 回顾性分析2004～2007年收治的29例脊髓栓系综合征患者的临床表现、影像学特点以及显微手术圆锥松解、终丝切断后的术后效果。结果 本组患者中71％的症状得到改善。29％临床症状无明显改善，在随访过程中其症状亦无继续加重。结论 脊髓栓系综合征的早期诊断、早期治疗是提高疗效的关键。显微外科手术切断、充分松解增粗、变短的终丝，是手术成功的关键。
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| 关 键 词： | 脊髓栓系综合征 治疗 诊断 |
| 文章编号： | 1673-9701(2008)02-34-02 |
| 修稿时间： | 2007年8月12日 |
Diagnosis and Microsurgical Treatment of 29 cases with Tethered Cord Syndrome |
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| Authors: | PENG Ziqiang XIAO Zengmang LI Tingsong |
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| Institution: | PENG Ziqiang XIAO Zengming LI Tingsong 1.Department of Orthopaedics,the People＇s Hospital of Dong＇an County, Hunan 425900; 2.Department of Vertebrarium and Osteonosus, the First Affiliated Hospital of Guangxi Medical University, Nanjing 530021 |
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| Abstract: | Objective To explore the character of the diagnosis and microsurgical treatment results of 29 cases with tethered cord syndrome （TCS）. Methods 29 cases were reviewed and analyzed with TCS including clinical demonstration,MRI character,microsurgery technology and effect. Results 71% of all the patients with TCS had significant improvement in this group. Surgical outcome was excellent for resolution of pain and sensormotor deficits, but disappointing for bladder dysfunction. Conclusion Early diagnosis and treatment is the key for good outcome. Microsurgery is the key to a successful operation. |
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| Keywords: | Tethered cord syndrome Treatment Diagnosis |
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