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目的:探讨婴幼儿腰骶部脊膜膨出的早期显微手术治疗疗效。方法:回顾性分析18例腰骶部脊髓脊膜膨出患儿6月龄以内显微镜下行脊膜膨出切除+椎管扩大神经松解+脊膜修补术。结果:全部病例均成功完成手术,治愈16例,好转1例,无变化0例,总有效率88.9%。5例下肢功能障碍者中,有1例残留有轻度跛行;1例足内翻病例未见好转,而行矫形手术治疗。结论:婴幼儿脊髓脊膜膨出应尽早采取显微手术治疗,以防止神经功能的变性、坏死导致临床症状的出现。
Objective: To investigate the early microsurgical treatment of lumbosacral meningocele in infants and young children. Methods: 18 cases of lumbosacral myeloleulent myelomeningocele underwent microsurgical resection of the posterior segment of the posterior wall of the femoral spine and enlarged spinal cord lumbar dissection and spinal meningoblastomy. Results: All cases were successfully completed surgery, cured 16 cases, improved in 1 case, no change in 0 cases, the total effective rate was 88.9%. Among 5 cases of lower extremity dysfunction, 1 case had mild claudication; 1 case of varus did not improve, but underwent orthopedic surgery. Conclusion: Myelomeningocele should be treated with microsurgical operation as soon as possible to prevent the degeneration of nerve function. The necrosis results in the appearance of clinical symptoms.