Meyrat B J, Vernet O, Berger D, de Tribolet N
Department of Paediatric Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
Eur J Pediatr Surg. 1993 Oct;3(5):309-12. doi: 10.1055/s-2008-1066036.
The aim of the study was to assess the sensitivity of both urodynamics and anorectal manometry in detecting neurological signs in children with a primary tethered cord. Between 1989 and 1991, 9 children were operated upon for untethering of primary tethered cord in Lausanne. Both manometric studies were performed by the same team preoperatively and 6 months after surgery. Gaeltec catheters with micro-tip transducers were used with a standardized method. Preoperative manometric findings were pathological in 4 children without clinical signs of bladder dysfunction and in 3 without clinical fecal disorders. Postoperatively, bladder dysfunction regressed in one child and fecal disorders in another. Manometric findings remained nevertheless pathological. The authors held both urodynamics and anorectal manometry as mandatory for preoperative evaluation as well as for the postoperative monitoring of children with primary tethered cord.
该研究的目的是评估尿动力学和肛门直肠测压法在检测原发性脊髓栓系患儿神经学体征方面的敏感性。1989年至1991年间，9名儿童在洛桑接受了原发性脊髓栓系松解手术。两项测压研究均由同一团队在术前及术后6个月进行。使用带有微尖端传感器的Gaeltec导管，并采用标准化方法。术前测压结果显示，4名无膀胱功能障碍临床体征的儿童以及3名无临床排便障碍的儿童存在病理性改变。术后，1名儿童的膀胱功能障碍有所改善，另1名儿童的排便障碍有所改善。然而，测压结果仍为病理性。作者认为，尿动力学和肛门直肠测压法对于原发性脊髓栓系患儿的术前评估及术后监测均必不可少。
