陈辉 吉士俊 王宪刚 赵国贵 王常林 110003 沈阳，中国医科大学第二临床学院小儿外科 中华小儿外科杂志 1999 0 20 4


    关键词：脊髓栓系综合征；脂肪瘤；外科学；病理学 期刊 zhxrwkzz 0 脊柱畸形的矫治 fur -->


    

【摘要】 目的 探讨脊髓栓系综合征(TCS)术后疗效与病理类型的关系。方法 随访TCS术后患儿45例，通过临床评分，观察术后疗效，并分析与病理类型的关系。结果 患儿术后神经症状多有所改善或无变化，部分出现症状恶化。脂肪瘤型术后评分(6.80±3.16)显著低于术前(8.60±4.64)，并低于非脂肪瘤型(9.28±4.65)。病程越短，术后效果越好。结论 TCS松解术目的在于阻止神经症状的发生及发展，提倡早期手术。病理分型对判断预后有重要价值。

     Correlation BetweenPathological Classification and

    Operative Results of Tethered Cord Syndrome

CHEN Hui, JI Shijun, WANGXiangang, et al.

    Department of Pediatric Surgery, The 2nd Clinical Hospital, China Medical University,Shenyang 110003

【Abstract】 Objective To establish the relationship between pathological classificationand the operative results in patients suffering from tethered cord syndrome (TCS). Methods Forty-five patients who wereoperated on for tethered cord syndrome were followed up. The operative results wereassessed with clinical score. The relationship between the pathological classification andsurgical results were analyzed. Results Clinically, most of the patients remained unchanged orimproved symptomatically. A few patients deteriorated. In patients associated with lipoma,the post-operative score deteriorated whereas in those without, the score improved. Thedifference was statistically significant. The shorter the pre-operative course, the betterthe surgical result. Conclusions Tethered cord release prevents development of neurologicaldefect. Early operation is indicated. Pathological classification is predictive of theoperative results.

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