神经内镜下手术治疗脊髓栓系综合征

目的 探讨神经内镜下手术治疗脊髓栓系综合征(TSCS)的方法和临床疗效.方法 2007至2010年山西省人民医院对21例(男13例,女8例,年龄平均12.5岁)经MRI确诊为TSCS的患者在神经内镜下进行了脊髓栓系松解手术,并进行疗效观察.结果 本组无死亡病例及严重并发症发生;21例患者术后随访0.5～3年,18例原有症状有不同程度改善,3例术后病情无明显变化,但也无神经功能障碍和下肢畸形的加重,总有效率85.71%.结论 神经内镜下治疗TSCS的手术方法安全有效、创伤小、疗效满意.

Abstract：

Objective To investigate the methods and efficacy of neuroendoscopic operation in the treatment of tethered spinal cord syndrome (TSCS) . Methods A total of 21 cases were recruited. There were 13 males and 8 females with an average age of 12.5 years old. TSCS was diagnosed by magnetic resonance imaging (MRI). They were operated under neuroendoscope. Results No complication was found during a follow-up period of 0.5-3 years. The symptoms improved in 18 cases. Neither obvious improvement nor aggravation was found in 3 cases. The total effective rate was 85.71%. Conclusion Neuroendoscopic treatment of TSCS is both safe and effective.

Neuroendoscopic management of tethered spinal cord syndrome

Objective To investigate the methods and efficacy of neuroendoscopic operation in the treatment of tethered spinal cord syndrome (TSCS) . Methods A total of 21 cases were recruited. There were 13 males and 8 females with an average age of 12.5 years old. TSCS was diagnosed by magnetic resonance imaging (MRI). They were operated under neuroendoscope. Results No complication was found during a follow-up period of 0.5-3 years. The symptoms improved in 18 cases. Neither obvious improvement nor aggravation was found in 3 cases. The total effective rate was 85.71%. Conclusion Neuroendoscopic treatment of TSCS is both safe and effective.