儿童与成人脊髓纵裂的对比分析

Comparative analysis of diastematomyelia in children and adults

目的比较儿童与成人脊髓纵裂的临床特征、治疗和预后的异同。方法对110例儿童和29例成人脊髓纵裂患者的临床表现、影像学和手术疗效进行回顾分析。结果相对成人而言,儿童脊髓纵裂下肢运动障碍,脊柱侧弯、腰背部皮肤特征性的改变等症状、体征较多见;外科治疗对于下肢无力、步态异常、疼痛和感觉障碍效果较好,对于大小便功能障碍效果不理想。而成人以疼痛、下肢无力等症状较多见,外科治疗对于疼痛、下肢无力疗效明显,对大小便功能障碍效果较儿童更差。结论儿童和成人脊髓纵裂在临床特征、预后等方面均有差别,在确定治疗方案时应有所区别。

Objective To compare and analyze the clinical features, treatments and the operative results of the diastematomyelia between children and adults. Methods Diastematomyelia was analyzed according to imaging analysis,clinical situation, curative effect of surgical management in 110 children and 29 adult cases. Results The symptoms such as dyskinesia of legs, scoliosis, and distinctive transform of back were more common in children than adults. Surgical therapy effect on ＂leg weakness, gait abnormality, pain, and sensory disability was better than urination and defecation function disturbance. However, the symptoms including pain and weakness of legs were more common in adults than children. The surgical therapy effect on the pain and weakness of legs was quite obvious. The surgical therapy effect on urination and defecation function disturbance in adults was worse than children. Conelusions The clinical characteristics and prognosis are different between adults and children diastematomyelia, so the treatments should be differentiated.