脂肪瘤型脊髓栓系综合征的显微手术治疗

目的探讨脂肪瘤型脊髓栓系综合征的显微手术治疗. 方法 32例脂肪瘤型脊髓栓系综合征在显微镜下切除脂肪瘤、松解脊髓、切除硬膜内外的牵拉成分. 结果术后脑脊液皮下漏3例,经脱水、俯卧位等对症治疗后痊愈.术后随访3～12个月,平均6个月,治愈5例,好转21例,无变化6例. 结论显微手术治疗脂肪瘤型脊髓栓系综合征术后并发症少,神经损害情况改善较好.

Microsurgical management of tethered cord syndrome caused by lipomas

Objective To discuss the microsurgical treatment for tethered cord syndrome (TCS) caused by intraspinal lipomas. Methods Thirty-two patients with intraspinal lipoma TCS were treated microsurgically. On surgery the tethering lesions of lipoma were excised and anomalies restricting the spinal cord were removed. Results Following the operation, cerebrospinal fluid subcutaneous leakage had occurred in 3 patients, who were cured by expectant treatment. The patients were followed for 3~12 months (mean, 6 months). Five patients were cured, 21 got improved, and 6 had no change. Conclusions Application of microsurgical technique for intraspinal lipoma TCS has advantages of fewer complications and better improvement of nerve functions.