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530例先天性神经管畸形的显微外科治疗
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科技导报 |研究论文 2009 , 27 (0924) : 67 -69
530例先天性神经管畸形的显微外科治疗
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崔志强,萧凯,任焕达,段宏宇,修波
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    清华大学玉泉医院脊髓神经外科,北京 100049
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修波
530 Cases of Microsurgery for the Congenital Neural Tube Deformans
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    出版时间: 2009-12-28
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    通过分析530例先天性神经管畸形临床数据,评价了先天性神经管畸形显微外科治疗疗效。患者均行神经系统检查和MRI检查,并经显微外科手术治疗,术后疗效按显效、有效、无效和加重进行评定。结果显示,按Kirollos术中松解分级评定方法:518例(97.7%)达到1级,12例(2.2%)达到2级,0例(0.0%)为3级。手术近期疗效:显效112例(21.1%),有效410例(77.4%),无效6例(1.1%),加重2例(0.3%)。由此得出结论:早期显微外科手术松解是治疗先天性神经管畸形有效的方法。
    先天性神经管畸形  /  显微外科治疗  /  脊髓栓系综合征
    To discuss the therapeutic effect of microsurgery for the Congenital Neural Tube Deforman (CNTD), the clinical data of 530 cases in examinations of nervous system and MRI were considered. The microsurgical treatment for the congenital neural tube deforman was performed in all cases and the therapeutic effectiveness after operation was graded according to the physical improvement of the patients: excellent, effective, ineffective and aggravation. The degree of untethering after microsurgery based on Kirollos grading system is used for assessment. The results are as follows: Grade I in 518 cases (97.7%), Grade II in 12cases (2.2%), Grade III in 0 cases (0%). The short term curative effectiveness in 530 patients is as follows: excellent for 112 cases (21.1%), improved for 410 cases (77.4%), not changed for 6 cases (1.1%) and aggravated for 2 case (0.3%). It is concluded that microsurgical release may be the only therapy for CNTD.
    congenital neural tube deforman  /  microsurgery therapy  /  tethered cord syndrome
    崔志强;萧凯;任焕达;段宏宇;修波. 530例先天性神经管畸形的显微外科治疗. 科技导报, 2009 , 27 (0924) : 67 -69 .
    . 530 Cases of Microsurgery for the Congenital Neural Tube Deformans[J]. Science & Technology Review, 2009 , 27 (0924) : 67 -69 .

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