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1
Early results of selective treatment of spina bifida cystica.脊柱裂囊肿选择性治疗的早期结果。
Br Med J. 1973 Oct 27;4(5886):201-4. doi: 10.1136/bmj.4.5886.201.
2
Spina bifida cystica. Results of treatment of 270 consecutive cases with criteria for selection for the future.囊性脊柱裂。270例连续病例的治疗结果及未来的选择标准。
Arch Dis Child. 1972 Dec;47(256):854-73. doi: 10.1136/adc.47.256.854.
3
Selection for treatment in spina bifida cystica.脊髓脊膜膨出的治疗选择。
Br Med J. 1973 Oct 27;4(5886):189-97. doi: 10.1136/bmj.4.5886.189.
4
Spina bifida cystica: survey of 107 cases.囊性脊柱裂：107例病例调查
N Z Med J. 1972 May;75(480):272-7.
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The relationship of apnoea and stridor in spina bifida to other unexplained infant deaths.
Dev Med Child Neurol. 1974 Dec;16(6 Suppl 32):107-16. doi: 10.1111/j.1469-8749.1974.tb03458.x.
6
An appraisal of the management of spina bifida cystica.
Dev Med Child Neurol Suppl. 1969;20:86-90. doi: 10.1111/j.1469-8749.1969.tb09252.x.
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Natural history of spina bifida cystica and cranium bifidum cysticum. Major central nervous system malformations in South Wales. IV.脊柱裂囊肿型和颅骨裂囊肿型的自然病史。南威尔士的主要中枢神经系统畸形。IV
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Effect of early surgery for spina bifida cystica on survival and quality of life.脊柱裂囊肿早期手术对生存及生活质量的影响。
Lancet. 1974 Feb 23;1(7852):301-4. doi: 10.1016/s0140-6736(74)92606-3.
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Handicap and social status of adults with spina bifida cystica.脊柱裂囊肿型成年患者的残疾状况与社会地位
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The reliability of prediction of outcome in spina bifida.
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1
Multidisciplinary spina bifida clinic: the Chicago experience.多学科脊柱裂诊所：芝加哥的经验。
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The Evolution of Spina Bifida Treatment Through a Biomedical Ethics Lens.从生物医学伦理视角看脊柱裂治疗的演变
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The changing incidence of myelomeningocele and its impact on pediatric neurosurgery: a review from the Children's Memorial Hospital.脊髓脊膜膨出发病率的变化及其对小儿神经外科的影响：来自儿童纪念医院的综述
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Ethics, justification and the prevention of spina bifida.伦理学、正当理由与脊柱裂的预防
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Cystic spinal dysraphism of the cervical and upper thoracic region.颈段和上胸段脊柱裂合并脊髓脊膜膨出
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Long-term outcome of hydrocephalus management in myelomeningoceles.脊髓脊膜膨出症脑积水治疗的长期结果
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Results of selective treatment of spina bifida cystica.脊柱裂囊肿选择性治疗的结果。
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Shunt placement and myelomeningocele repair: simultaneous vs sequential shunting. Review of 12 cases.
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Spina bifida cystica in northern Nigeria.尼日利亚北部的囊性脊柱裂
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Treating children with spina bifida.治疗脊柱裂患儿。
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本文引用的文献

1
Spina bifida cystica. Results of treatment of 270 consecutive cases with criteria for selection for the future.囊性脊柱裂。270例连续病例的治疗结果及未来的选择标准。
Arch Dis Child. 1972 Dec;47(256):854-73. doi: 10.1136/adc.47.256.854.
2
The outlook for the child with a myelomeningocele for whom early surgery was considered inadvisable.
Dev Med Child Neurol. 1972 Jun;14(3):304-7. doi: 10.1111/j.1469-8749.1972.tb02594.x.
3
Results of selective early operation in myelomeningocele.脊髓脊膜膨出选择性早期手术的结果
Arch Dis Child. 1973 Sep;48(9):676-83. doi: 10.1136/adc.48.9.676.
4
Ethical and social aspects of treatment of spina bifida.脊柱裂治疗的伦理和社会层面
Lancet. 1968 Aug 3;2(7562):274-6. doi: 10.1016/s0140-6736(68)92369-6.

脊柱裂囊肿选择性治疗的早期结果。

Early results of selective treatment of spina bifida cystica.

作者信息

Lorber J

出版信息

Br Med J. 1973 Oct 27;4(5886):201-4. doi: 10.1136/bmj.4.5886.201.

DOI:10.1136/bmj.4.5886.201
PMID:4586035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1587325/
Abstract

The results of a policy of "selection" in treating infants with spina bifida cystica over 21 months are presented. Of 37 newborn infants referred on the first day of life 25 were not treated because of the severity of their condition, as defined by exact criteria. All died under 9 months of age. In contrast, only one treated infant died and the rest are either normal or moderately handicapped. Selection for treatment is offered as the best but not a good solution to an insoluble problem.

摘要

本文介绍了对21个月以上患有脊髓脊膜膨出的婴儿采取“筛选”政策的结果。在出生第一天被转诊的37名新生儿中，有25名因病情严重（根据确切标准定义）而未接受治疗。所有这些婴儿均在9个月前死亡。相比之下，接受治疗的婴儿中只有一名死亡，其余婴儿要么正常，要么有中度残疾。提供治疗筛选作为对一个无法解决的问题的最佳但并非完美的解决方案。