国际神经病学神经外科学杂志2017，Vol.44Issue(6)：630-633,4.DOI:10.16636/j.cnki.jinn.2017.06.014
儿童脂肪脊髓脊膜膨出的手术治疗
Surgical treatment of lipomyelomeningocele in children
摘要
Abstract
Objective To investigate the surgical treatment of children with lipomyelomeningocele treated in Department of Neurosurgery,The First Affiliated Hospital of Xinjiang Medical University,from January 2013 to April 2017.Methods A total of 35 children with lipomyelomeningocele (aged one day to 10 years) who were admitted to our hospital from January 2013 to April 2017 were enrolled,and magnetic resonance was performed for all children.The Hoffman functional grade for lipomyelomeningocele was used to evaluate clinical outcome.A total of 21 children were followed up for 6 months to 3 years.Results All 32 patients achieved incision healing by first intention;of all patients,3 experienced cerebrospinal fluid leak after surgery and underwent surgical repair immediately,and then they showed good recovery and did not experience complications such as intracranial infection.A total of 29 patients had normal neurological function before and after surgery;5 patients with neurological symptoms showed no deterioration of neurological function after surgery;one patient with neurological symptoms showed an increase in neurological functional grade after surgery.The results of follow-up showed that among 18 patients with normal neurological function before surgery,6 maintained normal neurological functions during follow-up,with a mean age of 7.16 months at the time of admission;3 patients with neurological symptoms had a mean age of 42.33 months at the time of admission.Conclusions Early surgery is the key to the treatment of lipomyelomeningocele,and more attention should be paid to the abnormal changes of the skin in the lumbosacral region,in order to improve the surgical outcome.关键词
脊髓脊膜膨出/脂肪瘤/手术Key words
Myelomeningocele/Lipoma/Surgery引用本文复制引用
何强,吉文玉,阿不力克木·伊敏江,图柯拜·吐尔托合提,刘源,王增亮,汪永新..儿童脂肪脊髓脊膜膨出的手术治疗[J].国际神经病学神经外科学杂志,2017,44(6):630-633,4.基金项目
国家自然科学基金(81660543) （81660543）
