儿童先天性脑脊膜膨出的诊治研究

Diagnosis and treatment of congenital meningocele in children

目的探讨并总结儿童先天性脑脊膜膨出的临床特点和诊治经验。方法回顾性分析2010年5月至2014年8月收治的19例儿童先天性脑脊膜膨出的临床资料。其中脑膜膨出14例,脊膜膨出5例,19例均行脑脊膜膨出修补手术。结果手术无死亡病例,院内出现伤口感染(脂肪液化)2例,为脊膜膨出患儿;脑脊液漏2例,为脑膜膨出患儿。出院后定期随访复查,未见复发,效果均较满意。结论先天性脑脊膜膨出依据临床包块部位及特征结合CT或MRI检查可确诊。只要患儿无手术及麻醉禁忌症,脑脊膜膨出修补术是治疗儿童先天性脑脊膜膨出的首选方法。

Objective The diagnosis and treatment of congenital meningocele in children were summarized. Methods Nineteen children diagnosed as meningomyelocele in Department of Pediatric Surgery from May 2010 to Aug 2014 were analyzed retrospectively. A total of 14 cases were encephalocele and the other 5 cases were meningocele. All these 19 patients were performed the meningocele repairs. Results No surgical mortality occurred. All the patients were followed up and re-checked at 2 w, 1 month, 3 months, 6 months, and 1 year after surgery. The effect was satisfactory and no recurrence occurred. Conclusion Congenital meningocele in children can be diagnosed according to location of clinical masses and features in combination with CT or MRI. Meningocele repair is a preferred treatment for congenital meningocele in children when no contraindication in surgery and anesthesia occurs.