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Objective To compare and analyze the clinical features, treatments and the operative results of the diastematomyelia between children and adults.

目的 比较儿童与成人脊髓纵裂的临床特征、治疗和预后的异同。

Purpose:To explore the classification of diastematomyelia and evaluate the diagnostic value of MRI for diastematomyelia.

目的:探讨脊髓纵裂畸形的分型和MRI诊断价值。

Objective To study the clinical feature and effect of operation of diastematomyelia for instruction of clinical diagnosis and treatment Methods Diastematomyelia in 18 cases were retrospectively analyzed.

目的研究稳定性脊髓纵裂的临床特征、手术疗效以指导诊断和治疗。

The clinical characteristics and prognosis are different between adults and children diastematomyelia, so the treatments should be differentiated.

儿童和成人脊髓纵裂在临床特征、预后等方面均有差别,在确定治疗方案时应有所区别。

Methods Diastematomyelia was analyzed according to imaging analysis, clinieal situation, curative effect of surgical management in 110 children and 29 adult cases.

对110例儿童和29例成人脊髓纵裂患者的临床表现、影像学和手术疗效进行回顾分析。

High dose methylprednisolone administered in diastematomyelia operation can protect the function of spinal cord.

脊髓纵裂术中应用大剂量甲基强的松龙对脊髓有明显保护作用。

Lipomyelomeningocele and diastematomyelia require more extensive surgical procedure.

脂肪脊髓脊膜膨出和脊髓纵裂则要求更加深入的手术治疗,脂肪脊髓脊膜膨出手术就是要尽可能的切除脂肪瘤,解除其对硬脊膜和脊髓的拴系。

Objective. To show retrospective analysis of 21 consecutive patients who underwent simultaneous surgical treatment for progressive spinal deformity and coexisting intraspinal pathologies (tethered cord and/or diastematomyelia).

目的:回顾分析21个病人,这些病人因为进展性的脊柱畸形和共存的椎管内病变(范围束缚和/或脊髓纵裂)同时接受外科治疗。

Lipomyelomeningocele and diastematomyelia require more extensive surgical procedure. The goal of surgery in the former is to resect as much of the fatty mass as possible and free up the attachment of the fatty tissue, which has tethered the dura and the spinal cord.

脂肪脊髓脊膜膨出和脊髓纵裂则要求更加深入的手术治疗,脂肪脊髓脊膜膨出手术就是要尽可能的切除脂肪瘤照明和放大设施的改善大大增加了手术的准确性同时减少了手术的损伤。,解除其对硬脊膜和脊髓的拴系。

According to the classification, there were single-tube in 25 and double-tube in 96 patients. One hundred and two patients with diastematomyelia were treated by operation and ninteen by conservative treatment. The clinical results were retrospectively analyzed according to scoring neural function and monitoring the peak P40 of posterior trivial nerve cortical somatosensory evoked potential before and after treatment.

方法]对1978年5月~2006年1月收治的有完整资料的121例单管型及双管型脊髓纵裂手术及非手术治疗的病例进行回顾性分析,并通过临床神经功能评分及胫后神经皮层体感诱发电位P40波峰监测,评价其手术治疗的疗效。

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