孙颖浩 瞿创予 蒋寿宁 许传亮 钱松溪 郑家富 200433 上海，第二军医大学长海医院泌尿外科(孙颖浩、瞿创予、许传亮、钱松溪、郑家富)；上海中西医结合医院(蒋寿宁) 中华泌尿外科杂志 1999 0 20 6


    关键词：尿动力学；脊髓栓系综合征；脊柱裂 期刊 zhmnwkzz 0 论著 fur -->


    

【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，初期解栓手术在1岁后进行。

Urodynamic features in thetethered spinal cord syndrome and treatment suggestion

SUN Yinghao, QU Chuangyu, JIANGShouning

et al. Department of Urology,Changhai Hospital, Second Military Medical University, Shanghai 200433

【Abstract】 Objective To evaluate the urodynamic features of the patients withtethered spinal cord syndrome (TSC) and the treatment strategy. Methods A comprehensive urodynamic evaluation was made on 32 TSCpatients (23 primary cases with occult spinal dysraphism, and 9 secondary cases afterprevious closure of a cystic spina bifida). Results The most common findings in these two groups were detrusorareflexia (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 secondaryTSC.Untethering procedure for primary TSC yields better results than for secondary TSC.Aprospective study is mandatory and it is suggested that the untethering operation shouldbe performed after 1 year old.

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