脊髓栓系综合征的早期诊断

Early diagnosis on tethered cord syndrome

目的 :脊髓栓系综合征 (TCS)严重危害小儿健康 ,手术越早 ,效果越好。为达此目的 ,作者寻找了简单安全的检查方法早期诊断小儿TCS。方法 :无症状可疑TCS患儿 5 6例 ,全部行B超及X线检查 ,15例患儿同时作了MRI检查。将确诊的 5 1例术前B超及MRI检查所见与手术中所见进行比较。结果 :5 6例可疑患儿中确诊5 1例 (占 91 1% ) ,B超检查与手术中所见相似 ,而且B超检查简单、安全 ,能详细了解脊髓搏动情况及其他病理情况。结论 :B超能对可疑TCS患儿早期诊断 ,而且是一种简单易行。

Objective: The tethered cord syndrome(TCS) cause harm to the health of children serously.The earlier it is operated,the better the results.How to find a simple and safety examination method to diagnose TCS in children early.Methods: 56 patients suspected with TCS were examined by preoperative B mode sonograms and X ray.15 cases of them were did by MRI.Preoperative B mode sonograms and MRI were compared with intraoperrative findings.Results: 51 of 56 patients were diagnosed Preoperative B mode sonography is the same findings as operation.It is simple,safe and can supply pulsate of the tethered cord and much more pathological information.Conclusion: B mode sonography can diagnose TCS early.It is a simple and safe method in diagnosis on TCS.