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目的探讨早期采用不同显微外科术式治疗新生儿先天性神经管畸形的疗效。方法回顾性分析47例新生儿先天性神经管畸形(CNTD)患儿的临床资料。患儿均行神经系统检查和MRI检查,并采取不同的显微外科手术治疗策略,疗效按显效、有效、无效和加重进行评定,术后松解程度按Kirollos术中松解分级方法评定。结果按Kirollos术中松解分级评定1级45例(95.7%),2级2例(4.2%)。手术近期疗效:显效18例(38.2%),有效26例(55.3%),无效2例(4.2%),加重1例(2.1%)。结论不同术式的显微外科手术是治疗新生儿CNTD的有效手段。
Objective To investigate the effect of different microsurgery on neonatal congenital neural tube defects in the early stage. Methods The clinical data of 47 neonates with congenital neural tube defects (CNTD) were retrospectively analyzed. Children underwent neurological examination and MRI examination, and take different microsurgical treatment strategies, the effect was evaluated by effective, effective, ineffective and aggravating, the degree of postoperative release was determined by Kirollos intraoperative loosening and grading methods. Results According to Kirollos intraoperative release grading, 45 cases (95.7%) were grade 1 and 2 patients (4.2%) were grade 2. The short-term effect of surgery was markedly improved in 18 cases (38.2%), effective in 26 cases (55.3%), ineffective in 2 cases (4.2%) and aggravated in 1 case (2.1%). Conclusion Different surgical microsurgery is an effective method to treat neonatal CNTD.