关键词: 脊神经管畸形, 超声检查, 婴儿

Abstract: 〗［Abstract］Objective〖HTSS〗To explore the treatment of neural tube malformation in infants assisted by Bultrasound.
〖HTH〗〖WTHZ〗Methods〖HTSS〗The clinical data of 33 children with neural tube malformation were retrospectively analyzed. All cases were treated by microsurgery. Spina bifida neurological scale was used to evaluate the effect of the operation.
〖HTH〗〖WTHZ〗Results〖HTSS〗Two cases were diagnosed as meningocele by ultrasound before operation. In addition to meningocele, longitudinal fissure of spinal cord was found during operation. The diagnostic results of the other children were consistent with the ultrasonic diagnosis, and the coincidence rate of ultrasonic diagnosis was 93.9%(31/33). During the followup of 12-36 months, there was no significant difference in the grade of nerve function before and after operation in children with different types of neural tube malformations(P＞0.05). The total effective rate of operation was 78.8%(26/33). There was no significant difference in surgical effect and total effective rate among different types of neural tube malformations(P＞0.05). During the followup period, Bultrasound examination showed that the blood flow at the end of spinal cord in 14 children was improved in varying degrees compared with that before operation.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗Ultrasonic examination is nonradiation, convenient, rapid and reproducible. It can noninvasively and accurately evaluate the types and degrees of neural tube malformation in infants, improve the safety of operation, reduce the incidence of complications and provide important reference information for surgical treatment and postoperative followup.

Key words: neural tube malformation, ultrasonography, infant