临床小儿外科杂志Issue(4)：266-270,5.DOI:10.3969/j.issn.1671-6353.2015.04.004
900例小儿脂肪瘤型脊髓栓系综合征手术与疗效分析
Infantile lipoma of tethered cord syndrome clinical classification,surgical intervention and the evalua-tion of neural function
摘要
Abstract
Objetive To study the infantile lipoma of tethered cord syndrome clinical classification and surgical interventions,and nerve function after surgery for preoperative assessment.Methods 900 cases teth-ered cord syndrome patients in the Children’s Hospital of Hebei Province from May 1 995 to May 201 0 were ret-rospectively analyzed,based on intraoperative and preoperative MRI induces five types:type Ⅰ,fat bulging meningomyelocele type;Type Ⅱ,epidural appearance;Type Ⅲ,intradural,appearance;TypeⅣ,intradural;TypeⅤ,filum terminale.We remove fat tissue and cut off the filum terminale surgical intervention under micro-scope.Hoffman function grading standard to compare preoperative and postoperative clinical curative effect. Results 900 cases follow-up,in patients with type I treatment effective rate was 65% (1 30 /200),typeⅡwas 1 00% (1 00 /1 00),typeⅢ was 70% (21 0 /300),typeⅣ was 75% (1 50 /200),typeⅤ was 1 00% (1 00 /1 00).The overall satisfaction rate was 82%. Conclusions Adaptive clinical classification,right surgical in-terventions,and accurate neural function assesments of lipoma of tethered cord syndrome can improve the treat-ment effects.关键词
神经管缺损/外科手术/治疗结果/儿童Key words
Neural Tube Defects/Surgical Procedures,Operative/Treatment Outcome/Child引用本文复制引用
王贤书,张晓茹,曹红宾,程征海,杨志国,刘叶,景世元,李鑫..900例小儿脂肪瘤型脊髓栓系综合征手术与疗效分析[J].临床小儿外科杂志,2015,(4):266-270,5.基金项目
河北省科技计划项目 （）
