新生儿Currarino综合征的诊断及治疗

Diagnosis and treatment of Currarino syndrome in neonates

目的探讨新生儿Currarino综合征的诊断及治疗。方法对6例Currarino综合征的临床表现、影像学特点、治疗及预后进行回顾性分析。6例患儿，男3例，女3例，年龄8h至20d。其中有4例初次CT检查漏诊骶前肿块，2例患儿第一次手术前未能明确诊断。结果4例患儿一次或分次手术治愈。无切口感染，1例术后发生短期尿潴留。近期随访6～10个月，均能正常排便。另2例放弃手术。结论术前影像学的检查对明确诊断具有重要意义，应强调骶骨畸形及骶骨直肠间隙增宽的临床意义。

Objective To explore the diagnosis and treatment of Currarino syndrome in neo- nates. Methods A retrospective study was conducted on the basis of clinical and imaging features, treatments and prognoses of 6 neonatal cases with Currarino syndrome. Results The diagnoses of sa- cral mass were missed for 4 patients on initial computed tomography. Definite diagnoses were not made prior to stage I operation for 2 cases. Four patients were cured without incision infection by one time or staged operations. Short- term urinary retention developed in 1 case. All 4 surgical patients had normal defecation during a follow- up period of 6 - 10 months. Conclusions Correct preoperative imaging is important for the diagnosis of Currarino syndrome. Great attention should be paid to the clinical significance of sacral malformations and widened sacrorectal gap.