CAJ | 학술논문

目的：探讨影响小儿脊髓栓系综合征手术疗效的相关因素。方法回顾性分析2007年1月1日至2009年12月31日我院43例脊髓栓系综合征患儿术前及术后的症状程度，对患儿的手术疗效做出评估。并通过Cox比例风险模型对影响小儿脊髓栓系综合征手术疗效的相关因素进行分析。结果43例脊髓栓系综合征患儿28例手术治疗有效，手术总有效率为65.12%。Cox回归模型分析显示有无终丝紧张(P<0.05)、手术方式(P<0.05)及发病时间(P<0.05)是影响小儿脊髓栓系综合征手术疗效的的独立危险因素(P<0.05)。结论小儿脊髓栓系综合征手术疗效受到有无终丝紧张、手术方式及发病时间的影响。
목적：탐토영향소인척수전계종합정수술료효적상관인소。방법회고성분석2007년1월1일지2009년12월31일아원43례척수전계종합정환인술전급술후적증상정도，대환인적수술료효주출평고。병통과Cox비례풍험모형대영향소인척수전계종합정수술료효적상관인소진행분석。결과43례척수전계종합정환인28례수술치료유효，수술총유효솔위65.12%。Cox회귀모형분석현시유무종사긴장(P<0.05)、수술방식(P<0.05)급발병시간(P<0.05)시영향소인척수전계종합정수술료효적적독립위험인소(P<0.05)。결론소인척수전계종합정수술료효수도유무종사긴장、수술방식급발병시간적영향。
Objective To explore the risk factors of surgical treatment for children’ s tethered cord syndrome. Methods Retrospective-ly analyzed the clinical data of 43 tethered cord syndrome children who had undergone surgical treatment from January 2007 to December 2009,and to evaluate the efficacy of the surgical treatment. Meanwhile,The Cox proportional hazards regression model was adopted to evaluate the surgical efficacy. Results 28 children received effctive curative effect after the surgical treatment in 43children with tethered cord syn-drome,the total effective rate was 65. 12%. Cox medol showed that tight filum terminale(P<0. 05), operation methods (P<0. 05)and the duration of the disease(P<0. 05)were independent risk factors of surgical treatment for children’s tethered cord syndrome. Conclusion The operativeefficacy of children’ s tethered cord syndrome were influence by the tight filum terminale,operation methods and the duration of the disease.