Pérez L M, Barnes N, MacDiarmid S A, Oakes W J, Webster G D
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.
J Urol. 1993 Jun;149(6):1503-5. doi: 10.1016/s0022-5347(17)36427-3.
Little information exists concerning voiding dysfunction associated with diastematomyelia (splitting of the spinal cord). We present 27 patients 4 days to 62 years old (mean 13 years) who underwent neurosurgical intervention for treatment of this disorder. Of these patients 14 had urological evaluation, with 11 having undergone video urodynamics. Nine patients had minimal urological manifestations. No patient had a urodynamically proved hostile bladder nor evidence of upper urinary tract deterioration. In our experience, patients with a spinal cord fixation syndrome resulting from diastematomyelia not associated with a meningomyelocele appear to have a relatively benign course in terms of the urological manifestations. However, due to the lack of reports concerning the urological findings in this occult dysraphic state, we still suggest upper and lower urinary tract evaluation and followup.
关于脊髓纵裂（脊髓分裂）相关的排尿功能障碍，目前所知信息甚少。我们报告了27例年龄在4天至62岁（平均13岁）之间，因该疾病接受神经外科干预治疗的患者。在这些患者中，14例接受了泌尿外科评估，其中11例接受了影像尿动力学检查。9例患者有轻微的泌尿系统表现。没有患者有尿动力学证实的逼尿肌失代偿，也没有上尿路恶化的证据。根据我们的经验，由脊髓纵裂导致的脊髓固定综合征且不伴有脊髓脊膜膨出的患者，就泌尿系统表现而言，似乎病程相对良性。然而，由于缺乏关于这种隐匿性神经管闭合不全状态下泌尿系统检查结果的报告，我们仍然建议对上下尿路进行评估和随访。
