稳定性脊髓纵裂的治疗

Treatment of stable diastematomyelia

目的 研究稳定性脊髓纵裂的临床特征、手术疗效以指导诊断和治疗。方法 报告18例稳定性脊髓纵裂诊治情况。根据手术所见、影像学和手术疗效分析其致病机制及治疗要点。结果 稳定性脊髓纵裂患者临床症状是脊髓发育不良的结果,11例患者手术后神经功能障碍无改善,非手术7例患者长期随访神经功能障碍无进展。结论 稳定性脊髓纵裂患者无需手术,应长期随访观察。

Objective To study the clinical feature and effect of operation of diastematomyelia for instruction of clinical diagnosis and treatment Methods Diastematomyelia in 18 cases were retrospectively analyzed. According to imaging analysis, pathologic findings, clinical symptom and the surgical results to provide indication of treatment and pathogenesis. Results Clinical symptom of diastematomyelia come from myelodys-plasis. Neurological functional disturbance had not improved after operation in 11 cases,meantime, neurological functional disturbance had not changed in 7 cases without operation. Conclusion The stable diastematomyelia should be observed in following-up in a long-term,but no nessary to make surgical operation.