摘要
目的评价脊髓栓系综合征（ＴＳＣ）的尿动力学表现及治疗方式。方法回顾性分析３２例ＴＳＣ之尿动力学改变及磁共振特征。结果２３例隐性脊柱裂及９例囊性脊柱裂患者的主要尿动力学异常为逼尿肌无反射（８９％，９６％）、低顺应性（７８％，７０％）、内括约肌痉挛（１１％，３９％）、最大尿流率降低（７８％，８２％）。结论囊性脊柱裂初期修补术后易发生继发性ＴＳＣ，原发性者行解栓手术后效果优于继发性者，建议开展前瞻性研究。
Objective To evaluate the
urodynamic features of the patients with tethered spinal cord syndrome (TSC) and the treatment
strategy. Methods A comprehensive urodynamic evaluation was made on 32 TSC patients (23
primary cases with occult spinal dysraphism, and 9 secondary cases after previous closure of
a cystic spina bifida). Results The most common findings in these two groups were detrusor
areflexia (89% vs 96%), poor detrusor compliance(78% vs 70%),internal sphincter spasticity
(11% vs 39%)and decreased Qmax(78% vs 52%). Conclusions Primary closure of the sacral cyst
is liable to result in secondary TSC.Untethering procedure for primary TSC yields better results
than for secondary TSC.A prospective study is mandatory and it is suggested that the
untethering operation should be performed after 1 year old.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第6期368-369,共2页
Chinese Journal of Urology
