Naglo A S, Hellström B
Acta Paediatr Scand. 1976 Sep;65(5):565-9. doi: 10.1111/j.1651-2227.1976.tb04933.x.
A follow-up study was made in 48 surviving children with myelomeningocele, the material being derived from a time when all infants were operated upon in the newborn period without primary selection. The follow-up revealed several children with severe physical handicap, whereas relatively few were both physically and intellectually handicapped. The results were compared with two earlier published studies of which one from Sheffield comprised cases where selection had not been applied and the other from Edinburgh in which certain criteria had been set up as contra-indications to early closure of the lesion. The effect of a hypothetical selection applied to the Swedish material is discussed. It is recommended that a uniform system of assessment in grading of handicap is applied to facilitate a comparison between different follow-up investigations.
对48名患有脊髓脊膜膨出症的存活儿童进行了一项随访研究，研究资料来自所有婴儿在新生儿期均接受手术且未进行初选的时期。随访发现，有几名儿童存在严重身体残疾，而身体和智力都有残疾的儿童相对较少。将结果与之前发表的两项研究进行了比较，其中一项来自谢菲尔德，研究对象为未进行选择的病例；另一项来自爱丁堡，研究中设定了某些标准作为病变早期闭合的禁忌症。讨论了对瑞典资料进行假设性选择的影响。建议采用统一的残疾分级评估系统，以便于不同随访调查之间进行比较。
