Eight questions and answers in the treatment of spina bifida in children: a report of eight

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1, when the best effect of the operation?Cystic spina bifida, very common in infants and young children, the best operation within one year

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1, when the best effect of the operation?

Cystic spina bifida, very common in infants and young children, the best operation within one year old.

2, if the patient missed the best treatment time what will happen? Can also be cured?

Objectively speaking, severe spina bifida, in children and adult in the process, there will be greater may cause limb sensation and motor dysfunction and defecation, and even serious obstacles; operation as soon as possible, will make later possible symptoms less and lighter; but even miss the best opportunity, also can not give up surgery. Usually, as long as the diagnosis is clear, there are significant symptoms, whenever, should consider surgery.

3, spina bifida need surgery, there is no conservative treatment?

Spina bifida is a common congenital malformation. By the process of embryonic development, spinal dysraphisms. Can occur in the cervical spinal canal, thoracic, lumbar and sacral segments, or riding two segments, usually solitary, with the most common lumbosacral spina bifida; strictly speaking, divided into hemirachischisis, cystic spina bifida, open spina bifida. The former refers to only absent without spinal lamina contents prolapse, usually without spinal cord and spinal nerve abnormalities, no symptoms, some patients complained of chronic low back pain. Occult spina bifida without surgical treatment. Cystic spina bifida refers to the content from the spinal bone defect prolapse, formation of cystic mass in the corresponding spinal segment of the back, the most common is the lumbosacral mass, such as bulging content of single cerebrospinal fluid like water, also known as meningocele, such as bulge with spinal cord or nerve. They were called myelomeningocele and spinal cord spinal nerve prolapse. Spina bifida cystica caused these bulging can be caused by different degree of children with limb sensation and motor dysfunction and defecation. Considering the tolerance of surgery, postoperative infants to management features, operation not later than 6-12 months. Open spina bifida, extremely rare, more common in infants after birth, lumbosacral dorsal skin visible neck segment missing, spinal content directly exposed, easy to occur in the early stage of infection and death, closed spinal surgery is difficult to achieve; but if the spine is open wound caused by crack, should the emergency debridement surgery, according to the layer closed spinal canal.

4, spina bifida is how to do?

The operation principle is: loose solution of the spinal cord and spinal nerve deformity adhesion, removed during the repair of dural sac, tight closure, skin incision. Bony defects are usually not treated specially. Open spina bifida, should also consider the skin defect at the flap transfer coverage problem.

5, spinal bifida operation need general anesthesia? Child age is too small, general anesthesia surgery will have what risk? Anesthetic drugs on the child's growth and development have an impact?

General anesthesia under general anesthesia surgery. The disease is more common in children, general anesthesia risk is relatively large, such as poor placement of the catheter, vomiting, aspiration, drug poisoning, etc.. Regular hospital general anesthesia has little effect on the growth and development of children.

6, surgery can achieve what effect? Can cure?

The effect of the operation depends on the preoperative symptoms, the abnormal degree of the imaging, and the complex situation of the spinal cord, spinal nerve, spinal cord adhesion and winding in the operation. The operation effect is more obvious, but it is not that the operation can make the children become completely normal. Early surgery can significantly reduce the symptoms of patients, or to prevent the emergence of some symptoms, or make it appear relatively late.

7, spinal bifida, the patient's back pain, urinary incontinence and other symptoms can be improved? How long will it be better?

Usually can be improved or reduced, depending on a number of factors.

8, whether the patients need to defecate function training?

Yes. After the operation, the patient is difficult to urinate, usually begin to improve after a week, but it still takes time to recover completely.

 

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