人工体神经-内脏神经反射弧建立术前MRI检查的价值

Preoperative Examination of Artificial Somatic CentralNervous System Autonomic Reflex Pathway by MRI

目的 评价MRI在人工体神经内脏神经反射弧建立术前的诊断价值。资料与方法 对73例神经源性膀胱,拟行人工体神经 内脏神经反射弧建立术的患者进行术前MRI检查。结果 脊髓栓系综合征5 7例,骨折并脊髓损伤10例,椎管内占位3例,马尾神经粘连3例。结论 神经源性膀胱患者人工体神经 内脏神经反射弧建立术前应进行MRI检查。MRI对于发现脊髓栓系综合征、骨折并脊髓损伤、椎管内占位性病变以及马尾神经粘连有重要意义。

Objective To evaluate the clinical application of magnetic resonance imaging before the operation of artificial somatic central nervous system autonomic reflex pathway.Materials and Methods The preoperative MRI were performed in 73 patients with neurogenic bladder planned for the operation of artificial somatic central nervous system autonomic reflex pathway.Results 57 patients had tethered spinal cord syndrome; 10 patients had vertebral fracture and spinal injury; 3 patients had tumor in vertebral canal; and 3 patients were detected to have spinal cauda equina nerve conglutination.Conclusion MRI is essential for the preoperative planning of artificial somatic central nervous system autonomic reflex pathway in patients with neurogenic bladde, especially in patient with tethered spinal cord syndrome, vertebral fracture and spinal injury, tumor in vertebral canal and spinal cauda equina nerve conglutination.