脊柱裂诊治专家共识.pdfVIP

脊柱裂诊治专家共识 中国残疾人康复协会脊柱裂学组  修波，解放军总医院第七医学中心脊柱脊髓神经外科学科带头人、主任医师，国际 上显微手术治疗脊神经管畸形例数第一人。发表论文百余篇，参编、参译著作八部。应 邀在七十多家大学附属医院、三甲医院及众多市县医院示范神经管畸形手术。社会任 职：国际神经修复学会中国委员会副主任委员、国际脊髓学会会员、中国医师协会神经 修复学委员会神经发育畸形专委会副主任委员、中华医学会神经外科分会脊柱脊髓学组 秘书、中国妇幼保健协会小儿神经外科学组副主任委员、中国残疾人康复协会脊柱裂学 组副主任委员等 【摘要】   脊柱裂、脊髓拴系是一类可导致严重残疾的先天性疾病。目前我国相关专科的大部分医生对脊柱 裂认识不足，导致其并发症高发，疾病加重。为了给临床脊柱裂、脊髓拴系的诊治提供指导意见，中国残疾人康 复协会脊柱裂学组组织具有脊柱裂诊治经验的神经外科、泌尿外科、矫形外科、脊柱外科和康复科专家讨论、总 结经验，并参阅国内外脊柱裂诊治相关文献，制定本专家共识。该共识主要包括脊柱裂概念、分型和病理改变， 诊断，治疗流程和手术时机，治疗原则与方式，康复以及随访，从多个方面为我国脊柱裂相关专科医生提供参考。 【关键词】  脊柱裂；脊髓拴系；专家共识；诊断；治疗 Expert consensus on diagnosis and treatment of spinal bifida Spinal Bifida Group of China Disabled Rehabilitation Association Corresponding author: XIU Bo, E-mail: boxiu@ 【Abstract 】 Spinal bifida and tethered spinal cord are congenital diseases that can lead to severe disability. At present, most doctors in relevant specialties in China still have insufficient understanding of spinal bifida, resulting in high incidence and aggravation of its complications. To provide guidance for the diagnosis and treatment of spinal bifida and tethered cord in China, experts from neurosurgery, urology, orthopedics, spine surgery, and rehabilitation departments who have experience in the diagnosis and treatment of spinal bifida discussed and summarized their experience, and referred to the relevant literature on the diagnosis and treatment of spinal bifida at home and abroad. Expert consensus was formed in the following aspects: concept, classification and pathological changes of spina bifida; diagnosis; treatment process and operation timing; principles and methods of treatment; rehabilitation; and follow up. This expert consensus can provide reference for relevant care providers of spinal bifida in China. 【Key words 】 Spinal bifida; tethered cord; expert co