神经分离松解术治疗脊髓栓系综合征的疗效评价

Evaluation of nerve releasing on tethered cord syndrome

目的 对脊髓栓系综合征手术治疗的效果进行探讨。方法 通过 5 4例手术 ,针对不同的病理因素 ,解除栓系 ,分离粘连 ,梳理神经。结果 术后临床症状改善者 3 3例 ,无变化 18例 ,加重 3例。 2 6例进行了体感诱发电位 (SEP)的观察 ,术后均有明显好转。 3例术后MRI显示脊髓末端位置无明显变化。结论 脊髓栓系综合征提倡早期手术 ,手术后恢复是一个长期的慢性过程 ;大小便功能恢复的测定 。

Objective To evaluate the operative results of tethered cord syndrome (TCS).Methods According to different pathologies,54 cases of TCS underwent different operations including:release of tethered cord,separation of adhesion and nerve combing.Results After operation,33 cases improved,18 remained stable,and 3 deteriorated.The followed up by SEP in 26 cases showed improvement. Three cases were followed up by MIR with no change of the conus position. Conclusions Rehabilitation of TCS patients takes a long process after operation. Evaluation of defecation,micturition function and assessment of lower limbs by electromyogram are very complicated. The operation should be carried out as early as possible.