论文部分内容阅读
目的探讨显微外科手术治疗儿童脊髓纵裂Ⅰ型的效果。方法对内蒙古民族大学附属医院2010年3月~2014年9月行显微外科手术治疗的Ⅰ型儿童脊髓纵裂患者进行回顾性调查分析,共80例。所有患者均行神经系统、CT及MRI检查。术前行尿流动力学,电生理等检查。术后根据临床表现、尿流动力学、电生理等结果进行对比,判定疗效。结果术后随访患者6~60个月,根据临床效果及一系列检查:80例患儿,术后痊愈2例(2.5%),显效28例(35%),有效42例(52.5%),无效8例(10%),总有效率90%。神经电生理检查提示,术前、术后差异有统计学意义(P<0.05),膀胱顺应性在术前、术后差异有统计学意义(P<0.05)。结论显微外科手术治疗儿童脊髓纵裂Ⅰ型的疗效好,且结合神经电生理和尿流动力学监测可提高治疗疗效。
Objective To investigate the effect of microsurgery on the treatment of type Ⅰ spinal cord rupture in children. Methods Retrospective analysis was performed on 80 cases of type I children with SPL who underwent microsurgery operation from March 2010 to September 2014 in the Affiliated Hospital of Inner Mongolia University for Nationalities. All patients underwent neurological examination, CT and MRI. Preoperative urodynamics, electrophysiology and other tests. According to the clinical manifestations, urodynamics, electrophysiology and other results were compared to determine the efficacy. Results The patients were followed up for 6 to 60 months. According to the clinical effect and a series of examinations, 80 cases were cured and 2 cases (2.5%) were cured after operation. The effective rate was 28 cases (35%), effective 42 cases (52.5%), Invalid 8 cases (10%), the total efficiency of 90%. Neurological electrophysiological examination showed that there was significant difference between before and after operation (P <0.05). There was significant difference in bladder compliance before and after operation (P <0.05). Conclusion Microsurgery has a good curative effect on the treatment of type I spinal cord rupture in children. Combined with neuroelectrophysiology and urodynamic monitoring, it can improve the curative effect.