脊髓栓系综合征早期手术治疗分析

Analysis of early surgical treatment of tethered cord syndrome

目的探讨脊髓栓系综合征的临床表现、影像学特征、病理分型及其早期手术治疗。方法对我院1996年以来治疗的32例脊髓栓系综合征患者的临床资料进行回顾性分析。结果32例患者均行手术治疗，无手术死亡病例。粘连型23例，肿瘤型8例，骨嵴型1例。良好及有效25例，无效3例。结论脊髓栓系综合征可以早期发现，早期手术治疗可以阻断神经损害向不可逆转变。手术越早，其术后神经功能恢复越好。

Objective To explore the clinical manifestation, the features of the imageology, pathomorphism and the early operative treatment of tethered cord syndrome. Methods The clinical data of 32 patients with TCS, Who were surgically treated in our hospital from 1996, were analyzed retrospectively. Results All 32 patients were operated on with no mortality. 23 patients in adhesion type, 8 patients in tumor type and 1 patient in skeleton. 25 patients were significantly improved and fair curative effect in symptom, 3 were unchanged. Conclusions Early discovery can been doing in TCS, early surgical treatment could hold bacd that the nerves damage make became serious. The more early treated,The more Nerves function recoveried.