CAJ | 학술논문

目的探讨显微神经外科手术治疗脊髓栓系综合征的方法和疗效.方法对2004年3月至2010年3月我科收治的49例脊髓栓系综合征患者的临床表现、显微外科治疗方法、疗效、并发症进行回顾性分析.采用JOA评分对手术疗效进行客观评估.结果在住院期间(5～10d)70％(34/49)的患者症状得到改善.44例获得随访,在随访期内(26 ～ 96个月)治愈者(8/44) 18％,显效(18/44)40％,好转(13/44) 29％,无效(5/44)11％,总有效率为87％,无严重并发症发生.术后JOA评分较术前有明显改善(P＜0.05).结论根据术前MRI表现及术中所见情况采用不同的显微神经外科手术方法治疗脊髓栓系综合征可显著提高疗效、减少并发症.
목적 탐토현미신경외과수술치료척수전계종합정적방법화료효.방법 대2004년3월지2010년3월아과수치적49례척수전계종합정환자적림상표현、현미외과치료방법、료효、병발증진행회고성분석.채용JOA평분대수술료효진행객관평고.결과 재주원기간(5～10d)70％(34/49)적환자증상득도개선.44례획득수방,재수방기내(26 ～ 96개월)치유자(8/44) 18％,현효(18/44)40％,호전(13/44) 29％,무효(5/44)11％,총유효솔위87％,무엄중병발증발생.술후JOA평분교술전유명현개선(P＜0.05).결론 근거술전MRI표현급술중소견정황채용불동적현미신경외과수술방법치료척수전계종합정가현저제고료효、감소병발증.
Objective To investigate the methods and results of microsurgical treatment for tethered cord syndrome (TCS).Methods The clinical manifestation,microsurgical methods,effects and complications of 49 patients with TCS treated in our department from March 2004 to March 2010 were studied retrospectively.Results 34 cases (70％) showed postoperative improvement during the hospitalization (5-10 days).44 patients were followed-up,during the ollow-up period (26-96 months),18％ of cases were healed,40％ of cases got significant improvement,29％ moderate improvement and 11％ of cases had no improvement.Tfhe overall efficiency rate was 87％.There was no serious complication.Post-surgery JOA scale is significantly improved comparing to pre-surgery (P ＜ 0.05).Conclusions The surgical effects could be significantly improved by applying different microneurosurgical techniques according to different preoperative manifestation of MRI and interoperative findings for TCS patients.