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椎管内阻滞与镇痛时应警惕脊髓栓系综合征 被引量:2

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摘要 人在生长发育过程中,椎管的生长速度大于脊髓,因此脊髓下端相对于椎管下端逐渐升高。脊髓栓系综合征(TCS)是由于先天(如母亲妊娠早期病毒感染或严重缺乏叶酸等)或后天(如脂肪瘤、囊肿或神经损伤)原因造成脊髓下端栓系固定,不能正常上升,脊髓受牵拉,发生缺血性损伤,从而产生一系列神经功能障碍和畸形的征候群。该病多数在儿童时发现,但一部分TCS起病隐匿,发展缓慢,至成人时尚未发现,因此麻醉科医生行椎管内阻滞或镇痛前如发现TCS的典型体征及症状时应引起警惕,防止引起医源性损伤。
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2007年第9期864-864,共1页 Chinese Journal of Anesthesiology
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参考文献5

  • 1Van Leeuwen R, Notermans NG, Vandertop WP. Surgery in adults with tethered cord syndrome: outcome study with independent clinical review. J Neurosurg, 2001,94: 205-209.
  • 2石志才,李家顺,贾连顺.脊髓栓系综合征的研究现状[J].中华外科杂志,1995,33(12):734-737. 被引量:44
  • 3Giddens JL, Radomski SB, Hirshberg ED, et al. Urodynamic findings in adults with the tethered cord syndrome. J Urol, 1999, 161: 1249-1254.
  • 4王家林,石志才,苏佳灿,沈少林,许硕贵,任可,侯铁胜,陈于.脊髓栓系综合征医源性损伤4例报告[J].中国组织工程研究与临床康复,2001,10(16). 被引量:1
  • 5Martin JZ, Guido P, Ulrich L, et al. Muscle weakness and paresthesia associated with epidural analgesia in a patient with an intrathecal neuroflbrolipoma as part of a tethered cord syndrome. Anesth Analg, 2004, 99:255-258.

二级参考文献5

共引文献43

同被引文献24

  • 1石志才,李家顺,贾连顺.脊髓栓系综合征的研究现状[J].中华外科杂志,1995,33(12):734-737. 被引量:44
  • 2邓先波,孔祥泉,刘定西.正常人脊髓圆锥位置和马尾神经的MRI研究[J].临床放射学杂志,2007,26(6):548-551. 被引量:10
  • 3Yaron Z, Ofer L, Orna A, et al. Development of the fetal spinal cord : time of ascendance of the normal conus medullaris as detected by sonography. J Ultrasound Med, 2006, 25(11): 1397-401.
  • 4Demiryu"rek D, Aydingo"z U, Aksit MD, et al. MR imaging determination of the normal level of conus medullaris. J Clin Imaging, 2002, 26(6): 375-377.
  • 5Lirk P, Messner H, Deibl M, et al. Accuracy in estimating the correct intervertebral spacelevel during lumbar, thoracic and cervical epidural anaesthesia. Acta Anaesthesiol Scand, 2004, 48(3) : 347- 349.
  • 6Soleiman J, Demaerel P, Rocher S, et al. Magnetic Resonance Imaging Study of the Level of Termination of the Conus Medullaris and the Thecal Sac: Influence of Age and Gender. Spine, 2005, 30(16) : 1875-1880.
  • 7Kim JT, Bahk JH, Joohan S. Influence of Age and Sex on the Position of the Conus Medullaris and Tuffier's Line in Adults. Anesthesiology, 2003, 99(6): 1359-1363.
  • 8Wenger M, Hauswirth CB, Brodhage RP. Undiagnosed adult diastematomyelia associated with neurological symptoms following spinal anaesthesia. Anaesthesia, 2001, 56(8): 764-776.
  • 9Fettes PDW, Leslie K, McNabb S, et al. Effect of spinal flexion on the conus medullaris: a case series using magnetic resonance imaging. Anaesthesia, 2006, 61(6):521-523.
  • 10Fettes PDW, Wildsmith JAW. Somebody else's nervous system. Br J Anaesth, 2002, 88(6): 760-763.

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