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目的:总结根据脊膜膨出内容物的不同,采取适当的手术方法的效果。方法:回顾12例小儿囊性脊柱裂的治疗,单纯性脊膜膨出8例,脊髓脊膜膨出4例;病变部位腰骶部11例,颈部1例;广基型9例,有蒂型3例,透光试验阳性8例。结果:12例患儿均取得良好的效果。结论:选择适当的手术时机和手术方法是治疗小儿囊性脊柱裂的关键。
OBJECTIVE: To summarize the effect of appropriate surgical methods based on the different contents of the bulbar spina bifida. Methods: 12 cases of pediatric cystic spina bifida were treated retrospectively, including 8 cases of simple meningocele and 4 cases of myelomeningocele, 11 cases of lumbosacral lesion and 1 case of neck, and 9 cases of broad base type Di type in 3 cases, the light transmission test was positive in 8 cases. Results: All 12 children achieved good results. Conclusion: Choosing the appropriate timing of surgery and surgical procedure is the key to the treatment of cystic spina bifida in children.