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微创治疗脊髓栓系综合征的疗效分析
引用本文:王向阳,任新亮,武金有,茹小红,赵建疆.微创治疗脊髓栓系综合征的疗效分析[J].长治医学院学报,2005,19(1):20-22.
作者姓名:王向阳  任新亮  武金有  茹小红  赵建疆
作者单位:附属和济医院神经外科,046011;附属和济医院神经外科,046011;附属和济医院神经外科,046011;附属和济医院神经外科,046011;附属和济医院神经外科,046011
摘    要:目的:探讨脊髓栓系综合征的临床特征及微创外科手术治疗效果。方法:分析43例脊髓栓系综合征患者的临床表现、病理学改变以及经微创手术切除脂肪瘤或切除瘢痕、松解粘连、切断终丝后的效果,并结合文献报道进行论述。结果:治疗后32例(74%)的症状得到改善,11例(26%)临床症状无明显改善者,随访亦无继续加重。结论:脊髓栓系综合征的早期诊断和微创手术充分松解切断增粗变短的终丝,是治疗并获得满意效果的关键。

关 键 词:脊髓栓系综合征  微创治疗  脊髓脊膜膨出  终丝
文章编号:1006-(2005)01-020-03
修稿时间:2004年11月17

Minimally Invasive Management of Tethered Cord Syndrome
Wang Xiangyang,Ren Xinliang,Wu jinyou,et al..Minimally Invasive Management of Tethered Cord Syndrome[J].Journal of Changzhi Medical College,2005,19(1):20-22.
Authors:Wang Xiangyang  Ren Xinliang  Wu jinyou  
Institution:Wang Xiangyang,Ren Xinliang,Wu jinyou,et al. Department of Nerosurgery,Heji Hospital,Changzhi Medical College
Abstract:Objective:To assess the clinical character and operative results of 43 cases with tethered cord syndrome(TCS). Methods Forty-three patients with TCS were treated microsurgically and their clinical data were analyzed retrospectively. Results 32 cases(74%) of patients with TCS showed significant improvement. 11 cases(26%) remained unchanged ,and their situation held stable in the followed-up investigation. Conclusions Early diagnosis and minimally invasive technology are the keys to a successful outcome.
Keywords:Tethered cord syndrome  Minimally invasive technology  Meningomyelocele  Filum terminale
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