| 脊髓栓系综合征的诊治特点 |
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| 引用本文： | 杨玉明,姜宏志,袁庆国,沙成,谢红雯,王大明.脊髓栓系综合征的诊治特点[J].脑与神经疾病杂志,2006,14(5):324-326. |
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| 作者姓名： | 杨玉明 姜宏志 袁庆国 沙成 谢红雯 王大明 |
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| 作者单位： | 100730,卫生部北京医院,神经外科 |
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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1993~2005年收治的38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79%的症状得到改善。21%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 |
| 文章编号： | 1006-351X（2006）05-0324-03 |
| 收稿时间： | 2006-06-05 |
| 修稿时间： | 2006年6月5日 |
Diagnosis and microsurgical treatment of tethered cordsyndrome |
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| YANG Yuming , JIANG Hongzhi ,YUAN Qingguo,et al..Diagnosis and microsurgical treatment of tethered cordsyndrome[J].Journal of Brain and Nervous Diseases,2006,14(5):324-326. |
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| Authors: | YANG Yuming JIANG Hongzhi YUAN Qingguo |
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| Institution: | Department of Neurosurgery, Beijing Hospital, Beijing, 100730, China |
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| Abstract: | Objective: To explore the character of the diagnosis and microsurgieal treatment results of 38 cases with tethered cord syndrome (TCS). Methods:Revieved and analyzed 38 cases with TCS including clinical demonstration,MRI character, microsurgery technology and effect. Results: 79% of all the patients with TCS enjoyed significant improvement in this group. Surgical outcome is excellent for resolution of pain and sensormotor deficits, but disappointing for bladder dysfunction. Conclusions: Early diagnosis and treatment is the key to good outcome. Microsurgical release is the key to a successful operation. |
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| Keywords: | Tethered cord syndrome Spinal cord |
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