Chen Chaohui,Wu Shuihua.Application of Cavitron ultrasonic surgical aspirator in the management of tethered cord syndrome with lipoma[J].Journal of Clinical Pediatric Surgery,,19():135-139.[doi:10.3969/j.issn.1671-6353.2020.02.009]
Application of Cavitron ultrasonic surgical aspirator in the management of tethered cord syndrome with lipoma
- CLC:
- R726;R730.262;R445.1
- Abstract:
- Objective To explore the therapeutic effectiveness of Cavitron ultrasonic surgical aspirator (CUSA) for tethered cord syndrome with lipoma.Methods A total of 62 children with lipoma tethered cord syndrome (TCS) were divided into two groups.The routine group consisted of 47 patients undergoing routine procedure of excision of lipoma plus transection of filum teminale.The CUSA group was composed of 15 patients undergoing modified procedure.Lipoma was resected by CUSA and tumors were absorbed.Two groups were compared with regards to operative duration,postoperative complications and prognosis.Results The operative duration was (120±43)min in CUSA group and (220±40)min in routine group.And the difference had statistical difference (t=8.281,P<0.05).The incidence of complications was 0(0/15)in CUSA group and 12.7%(6/47)in routine group.And the difference had no statistical difference (χ2=2.12,P=0.321).In routine group,stool/urinary dysfunction and lower extremity malformations worsened (n=4).The symptoms improved (n=4) and stablized (n=11); In CUSA group,none had symptomatic worsening.One case of intermittent catheterization normalized at Month 3.The symptoms improved (n=4) and stablized (n=11).Conclusion During microsurgery of TCS,CUSA may reduce operative duration and lower operative complications.
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Memo
收稿日期:2018-12-30。
基金项目:湖南省科技重大专项（编号：2019SK1015）
通讯作者:吴水华,Email:292454021@qq.com