Monfort G, Guys J M, Chevallier D, Jouve J L
Service de Chirurgie Pédiatrique, Hôpital d'Enfants, CHU Timone, Marseille.
Ann Urol (Paris). 1989;23(3):239-41.
In a series of 41 cases of caudal regression syndrome, 6 cases of misdiagnosed partial sacral agenesis are reported. All had been previously treated surgically and only poor results led to diagnosis. Major symptoms were recurrent urinary tract infection and/or incontinence. Associated anomalies were ano-rectal malformations (1 case), male hermaphrodism (1 case), lipoma and tethered cord in 3 patients, myelocystocele in 1 case. Neuro-surgical associations must be cured first. Urologic implications are the same as in other forms of neurogenic bladder. The authors stress the need for careful examination of plain standard X-rays.
在一组41例尾椎退化综合征病例中，报告了6例被误诊为部分骶骨发育不全的病例。所有病例此前均接受过手术治疗，只因效果不佳才得以确诊。主要症状为反复尿路感染和/或尿失禁。相关畸形包括肛门直肠畸形（1例）、男性两性畸形（1例）、3例患者伴有脂肪瘤和脊髓栓系，1例伴有脊髓脊膜膨出。必须首先治疗神经外科相关疾病。泌尿外科方面的问题与其他形式的神经源性膀胱相同。作者强调需要仔细检查标准平片。
