Xiu Bo.Common problems and countermeasures in the diagnoses and treatment of split cord malformations.[J].Journal of Clinical Pediatric Surgery,2019,18(02):84-87.
脊髓纵裂诊治中的常见问题及对策
- Title:
- Common problems and countermeasures in the diagnoses and treatment of split cord malformations.
- Keywords:
- Diastematomyelia; Abnormalities; Surgical Procedures; Operative; Therapy
- 文献标志码:
- A
- 摘要:
- 脊髓纵裂是一种神经管畸形，表现为脊髓中间出现异常的骨性、纤维软骨性或纤维分隔物，将脊髓节段性分为左右两部分，造成脊髓被分隔物卡压、限制和牵拉，进而导致脊髓栓系症状。手术是脊髓纵裂唯一有效的治疗方法，一经确诊应尽早手术。手术原则：切除纵裂脊髓间的骨性分隔物及所有软组织，去除所有栓系因素。同时，要尽量避免手术并发症，并注意保留脊椎小关节和维持脊柱稳定性。本文旨在阐述脊髓纵裂畸形诊治中的常见问题及对策，为提高诊治正确率、有效率，减少手术并发症提供参考。
- Abstract:
- As one type of neural tube malformations,split cord is characterized by an intraspinal appearance of abnormal bony,fibrotic/bony and fibrotic partipitions.As a result,segmental divisions into two parts impacts,compresses and stretches spinal cord,leading to the syndrome of tethered spinal cord.Once diagnosed definitely,surgery is a sole effective option.And operative principles include resecting bony partitions and all soft tissues,removing all tethering factors,preventing operative complications,reserving small spinal joints and maintaining spinal stability.Common issues and countermeasures of split cord malformations are discussed to boost the correct and effective diagnostic rates and lower the odds of operative complications.
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