目的　探讨终丝牵拉综合征的诊断及治疗。方法　回顾性分析 1 6例终丝牵拉综合征的临床资料、诊断依据、临床表现、X线平片及MRI。手术方法均采用终丝切断术。结果　外观上有腰背部脊柱裂特有的皮肤改变1 3例 ,平片显示 1 5例有脊柱裂 ,MRI显示终丝脂肪变性 7例 ,纤维变性 9例 ,圆锥低位 9例 ,正常位置 7例。手术 1 4例 ,除 1人无变化外 ,其余均有改善或恢复正常。结论　终丝牵拉综合征的诊断需靠临床表现、体检、脊柱平片及MRI检查 ,终丝有否病变是诊断的标准 ,而圆锥低位不是判断有无终丝牵拉综合征以及是否需要手术的唯一关键指标。对于终丝变性 ,无论有无神经损害症状 ,无论圆锥位置如何 ,均应尽早手术。手术方法行终丝切断 Objective To investigate the diagnosis and treatment of terminal pulling syndrome. Methods The clinical data, diagnosis, clinical manifestations, X - ray and MRI of 16 cases of terminal pulling syndrome were retrospectively analyzed. Surgical methods are used end-wire severing. Results There were 13 skin changes unique to lumbar spine and lumbar spine. Fifteen cases had spina bifida on plain film. Seven cases had terminal degeneration of steatosis on MRI, nine cases of fibrosis, nine cases of low cone and seven cases of normal position. 14 cases of surgery, except one without change, the rest have improved or returned to normal. Conclusion The diagnosis of terminal traction syndrome depends on the clinical manifestations, physical examination, spinal plain film and MRI examination, whether the terminal lesion is the diagnostic criteria, and conical low is not to determine whether the terminal pulling syndrome and the need for surgery The only key indicator. For the final degeneration, with or without nerve damage symptoms, regardless of the cone position, should be as soon as possible surgery. Surgical methods end wire cut off