• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Clinical outcomes of myelomeningocele defect closure over 10 years
【24h】

Clinical outcomes of myelomeningocele defect closure over 10 years

机译：闭合性脊髓膜膨出缺陷的临床结果超过10年

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We report our surgical procedures for the closure of myelomeningocele defects. A retrospective analysis of 162 patients (74 male [45.7%], 88 female [54.3%]) with myelomeningocele was performed and the relationship between hydrocephalus, neurological status and the level and size of the myelomeningocele was described according to type of defect closure. Patients were divided into four groups according to the size of the defect, which was classified into ranges of 0-24 cm 2, 25-39 cm 2, 40-60 cm 2 and 60 cm 2. Myelomeningocele occurred in the lumbar region in 114 patients (70%). The minimum defect size was 3 × 2 cm, and the maximum defect size was 15 × 15 cm (mean defect size = 34.64 cm 2). We found that primary closure can be performed on clean, small defects with an intact sac that contains cerebrospinal fluid and the neural placode. For defects larger than 25 cm 2 that contained perforated sacculas, more soft tissue for well-vascularized coverage was required. Bilateral V-Y fasciocutaneous flaps are a good choice for immediate coverage of myelomeningocele defects.
机译：我们报告了闭合性脊髓膜膨出缺损的外科手术程序。回顾性分析了162例髓鞘膜囊肿患者（男74例[45.7％]，女性88例[54.3％]），并根据缺损闭合的类型描述了脑积水，神经系统状况与髓鞘膜水平和大小之间的关系。根据缺损的大小将患者分为四组，分为0-24 cm 2、25-39 cm 2、40-60 cm 2和> 60 cm 2范围。髓鞘膜膨出发生在腰椎区域114名患者（70％）。最小缺陷尺寸为3×2 cm，最大缺陷尺寸为15×15 cm（平均缺陷尺寸= 34.64 cm 2）。我们发现，可以在干净，小的缺损处使用完整的囊袋进行初次闭合，囊中包含脑脊液和神经斑。对于包含穿孔囊的大于25 cm 2的缺陷，需要更多的软组织以良好地血管化覆盖。双边V-Y筋膜皮瓣是立即覆盖髓鞘膜膨出缺损的好选择。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号