Lin JR,Xu XK,Li FC..Diagnosis and treatment of pediatric tethered cord syndrome with normal positioned conus medullaris.[J].Journal of Clinical Pediatric Surgery,2019,18(02):103-106.
圆锥位置正常型小儿脊髓栓系综合征的诊治分析
- Title:
- Diagnosis and treatment of pediatric tethered cord syndrome with normal positioned conus medullaris.
- Keywords:
- Neural Tube Defects; Filum Terminale; Conus Medullaris; Urination and Defecation Function Disturbance; Child
- 分类号:
- R729 R651.2
- 文献标志码:
- A
- 摘要:
- ObjectiveTo explore the clinical manifestations,diagnosis and treatment of pediatric tethered cord syndrome (TCS) with normal positioned conus medullaris.MethodsThe clinicopathological parameters of 4 children diagnosed with TCS with normal positioned conus medullaris were reviewed retrospectively.ResultsIn all cases,the end of conus medullaris was above inferior margin of L2 vertebral body.There was no significant postoperative change of the position of conus.Intraoperatve findings showed a thickened (>2 mm) and thicker filum.None presented with dysfunction of lower extremities and no postoperative deterioration of motor or sensory function was observed.Two patients had improved bladder and bowel function while another two showed no improvement.ConclusionThe diagnosis of pediatric TCS with normal positioned conus should be based on the clinical manifestations and imaging findings.Resecting filum terminale is indicated once diagnosed.
- Abstract:
- ObjectiveTo explore the clinical manifestations,diagnosis and treatment of pediatric tethered cord syndrome (TCS) with normal positioned conus medullaris.MethodsThe clinicopathological parameters of 4 children diagnosed with TCS with normal positioned conus medullaris were reviewed retrospectively.ResultsIn all cases,the end of conus medullaris was above inferior margin of L2 vertebral body.There was no significant postoperative change of the position of conus.Intraoperatve findings showed a thickened (>2 mm) and thicker filum.None presented with dysfunction of lower extremities and no postoperative deterioration of motor or sensory function was observed.Two patients had improved bladder and bowel function while another two showed no improvement.ConclusionThe diagnosis of pediatric TCS with normal positioned conus should be based on the clinical manifestations and imaging findings.Resecting filum terminale is indicated once diagnosed.
相似文献/References:
[1]鲍 南 吴水华 杨 波 顾 硕 褚 君 胡 明 施诚仁.儿童终丝牵拉综合征60例诊治分析[J].临床小儿外科杂志,2010,9(04):0.
BAO Nan,WU Shui-hua,YANG Bo,et al.Diagnosis and treatment of tight filum terminale syndrome in children.[J].Journal of Clinical Pediatric Surgery,2010,9(02):0.
[2]张艳芬 解丽娟 马 骁 张庆江 蔡春泉.儿童脊髓栓系综合征肌电图研究[J].临床小儿外科杂志,2010,9(04):0.
ZHANG Yan-fen,JIE Li-juan,MA Jiao,et al.Children with tethered cord syndrome EMG.[J].Journal of Clinical Pediatric Surgery,2010,9(02):0.
[3]王贤书 张晓茹 曹红宾. 婴儿脊神经管畸形并脊髓栓系手术方案及预后关系的探讨[J].临床小儿外科杂志,2015,14(03):173.
[4]王贤书 张晓茹 曹红宾. 900例小儿脂肪瘤型脊髓栓系综合征手术与疗效分析[J].临床小儿外科杂志,2015,14(04):266.
[5]张瑞苹,方玉莲,NirjaLakhey,等.甲硫氨酸合酶还原酶基因A66G多态性与神经管缺陷关系的Meta分析[J].临床小儿外科杂志,2017,16(04):347.
[6]陈朝晖,吴水华.超声吸引装置在脂肪瘤型脊髓拴系综合征中的应用研究[J].临床小儿外科杂志,2020,19(02):135.[doi:10.3969/j.issn.1671-6353.2020.02.009]
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,2020,19(02):135.[doi:10.3969/j.issn.1671-6353.2020.02.009]
[7]钟家斐,顾硕.神经管畸形围生期处理新进展[J].临床小儿外科杂志,2020,19(06):548.[doi:10.3969/j.issn.1671-6353.2020.06.017]
Zhong Jiafei,Gu Shuo.Recent advances in perinatal management of neural tube defects[J].Journal of Clinical Pediatric Surgery,2020,19(02):548.[doi:10.3969/j.issn.1671-6353.2020.06.017]
[8]呼和,蒋飞,姬广春,等.光修复对脊髓栓系伴神经源性膀胱大鼠的作用研究[J].临床小儿外科杂志,2020,19(07):648.[doi:10.3969/j.issn.1671-6353.2020.07.017]
Hu He,Jiang Fei,Ji Guangchun,et al.Effect of light repair on spinal cord tether with neurogenic bladder in rats[J].Journal of Clinical Pediatric Surgery,2020,19(02):648.[doi:10.3969/j.issn.1671-6353.2020.07.017]
[9]文海韬,伍添,陈朝晖,等.经小切口单侧椎间隙入路手术治疗圆锥位置正常与圆锥低位儿童终丝型脊髓拴系综合征的疗效对比[J].临床小儿外科杂志,2022,21(07):663.[doi:10.3760/cma.j.cn101785-202105001-013]
Wen Haitao,Wu Tian,Chen Chaohui,et al.Efficacy comparison of unilateral intervertebral approach through small incision for the treatment of filamentous tether syndrome in children with normal conus position versus low conus position[J].Journal of Clinical Pediatric Surgery,2022,21(02):663.[doi:10.3760/cma.j.cn101785-202105001-013]