CAJ | 학술논문

为了总结小儿脊髓脊膜膨出切除术后合并尿失禁的再次手术治疗效果.对小儿脊髓脊膜膨出术后56例全部行椎板减压、神经松解,椎管内肿瘤,各种病理性组织及手术瘢痕切除,切断牵张的终丝,解决脊髓拴系与压迫,恢复血运与神经功能.临床基本治愈33例,有效20例,无效3例.术后无病情加重和死亡.允分的椎板减压,椎裂修补和神经松解,切除病理团块和占位性肿瘤是小儿脊髓脊膜膨出再次手术疗效的关键.
위료총결소인척수척막팽출절제술후합병뇨실금적재차수술치료효과.대소인척수척막팽출술후56례전부행추판감압、신경송해,추관내종류,각충병이성조직급수술반흔절제,절단견장적종사,해결척수전계여압박,회복혈운여신경공능.림상기본치유33례,유효20례,무효3례.술후무병정가중화사망.윤분적추판감압,추렬수보화신경송해,절제병리단괴화점위성종류시소인척수척막팽출재차수술료효적관건.
Fifty-six children of meningmyelocele complicated with postoperative urinary incontinence underwent surgery.The main surgical approaches included:(1) vertebrectomy for decompression;(2) neurolysis;(3) space-occupying masses and taut ilium sectioned and adhesions or scars freed;and (4) restoration of neural function and blood circulation.The results showed that favorable outcome was achieved in 33 (58.9%),fair in 20 (35.71%) and poor 3 (5.36%) without operative mortality.The surgical procedures to improve urinary control and rehabilitate sensory and motor disturbance of the lower extremites are discussed.