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[儿童脊柱疝的双交叉修复术]

[Double-cross repair in spinal hernias in children].

作者信息

Kononov V S, Maĭtikov K K

出版信息

Khirurgiia (Mosk). 1996(4):46-9.

PMID:8926668
Abstract

The double-cross plasty with preservation of tunics and placement their edges under the back muscles has been developed and clinically used in 31 cases for prevention of hydrocephalus and firm defect closing in patients with spinal hernia. Muscular-fascial plasty has been used in 84 patients of the control group. Ultrasound examination of hernia sac and the brain itself has been done prior to the surgery. The histological analyses of hernia sac's wall has been done to determine the optimal age for performing surgery. According to the results of the study this age is 10 days, 4, 6 and 8 months. Tunics are more firm and well vascularize to these times. In elder patients the tunics will vascularize to these times. In elder patients the tunics will scar and that will cause disorders of haemo-liquor circulation. According to the results of clinical cases this method may be recommended for clinical use because of hydrocephalus stabilization.

摘要

已研发出一种保留被膜并将其边缘置于背部肌肉下方的双交叉成形术,并在31例患者中临床应用,用于预防脊柱疝患者的脑积水并牢固闭合缺损。对照组的84例患者采用了肌筋膜成形术。术前对疝囊和脑部进行了超声检查。对疝囊壁进行了组织学分析,以确定进行手术的最佳年龄。根据研究结果,这个年龄是10天、4个月、6个月和8个月。到这些时候,被膜会更坚韧且血管化良好。在老年患者中,被膜到这些时候会形成瘢痕,这将导致血液-液体循环紊乱。根据临床病例结果,由于该方法能稳定脑积水,故可推荐临床使用。

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