Objective To explore the efficacy of ultra-early stage microsurgical treatment for myelomenmgocele ( MMC). Methods A total of 26 patients with MMC received microsurgery in our hospital from June 2004 to January 2009. During the operation, following the principle of minimally invasion, under a microscope, the nerves were loosed, the spinal cords were returned back and the spinal canal and dures were repaired in an ultra-early stage ( < 72 h). Results The procedures were completed in a mean of ( 120 ±36) minutes with a mean blood loss of (25 ± 11) ml. According to Kirollos Assessment, 23 patients achieved grade I , 2 were grade Ⅱ , and 1 was grade Ⅲ. The 26 patients were followed up for 3-12 months with a mean of 8. 4 months, during which 11 were shown being cured, 12 were improved, and 3 had no response. Conclusion By strictly following the surgical indications and principle of minimally invasion, ultra-early stage microsurgery is an effective treatment for MMC.%目的 探讨脊髓脊膜膨出超早期显微外科治疗的疗效. 方法 2004年6月～2009年1月对26例脊髓脊膜膨出超早期(出生后72 h内)在显微镜下行神经松解、还纳、硬膜修补术. 结果 手术时间(120±36) min,出血(25±ll)ml.按Kirollos术中松解分级评定方法:23例达到Ⅰ级,2例达到Ⅱ级,l例为Ⅲ级.26例术后随访3～12个月,平均8.4月:治愈11例,好转12例,无变化3例,无加重. 结论 严格掌握入选标准,遵循微创原则,显微外科超早期治疗脊髓脊膜膨出可以取得满意疗效.
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