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目的:探讨术中应用超声乳化治疗脂肪瘤型脊髓拴系综合征的疗效。方法:自2001年3月收治脂肪瘤型脊髓拴系综合征患者32例,术中均采用超声乳化切除脂肪瘤,临床上采用Hoffman功能性分级,术前及随访时均行电生理检查,对15例尿失禁患儿行尿动力学检查,随访观察治疗效果。结果:全部病例随访6￣53个月,平均27个月。临床上Hoffman分级无加重,体感诱发电位(somatosensoryevokedpotential,SEP)明显改善(P<0.05),伴尿失禁患者尿动力学主要参数亦均有显著性改善(P<0.01)。结论:应用超声乳化治疗脂肪瘤型脊髓拴系综合征可取得较好治疗效果。
Objective: To investigate the effect of intraoperative application of phacoemulsification in the treatment of tethered cord syndrome of lipoma. METHODS: Thirty-two patients with myeloid tethered syndrome of lipoma were treated in March 2001. The patients were treated with phacoemulsification for the treatment of lipoma. Hoffman functional classification was used clinically. Electrophysiological examination was performed before and during follow-up. Urinary incontinence was performed in 15 cases of urinary incontinence. The follow-up was to observe the therapeutic effect. Results: All cases were followed up for 6 to 53 months, an average of 27 months. There was no significant difference in Hoffman classification, somatosensory evoked potential (SEP) was significantly improved in patients with urinary incontinence (P <0.05), and urodynamic parameters in patients with urinary incontinence were also significantly improved (P <0.01). Conclusion: The treatment of lipoma type tethered cord syndrome with phacoemulsification can achieve better therapeutic effect.