Lipomyelomeningocele: a 9-year Review

脂肪脊髓髓膜膨出：九年之回顧

夏文傑(Wen-Jye Shian) ； 遲景上(Ching-Shiang Chi) ； 黃棣棟(Tai-Tong Wong)

《Acta Paediatrica Sinica》 35卷1期 (1994/02) Pp. 57-62

https://doi.org/10.7097/APS.199402.0057

摘要

自1982年10月至1991年12月，台中榮總共診斷有14例（男性6位，女性8位）脂肪脊髓髓膜膨出的幼童作一回溯性研究；他們的年紀由三天至五歲大不等。其就醫的主訴為背上腫塊，膀胱脹，下肢無力及大便失禁；而其腰薦區的皮膚病灶有皮下脂肪瘤，凹陷及血管瘤；另外有許多合并异常，例如隱型脊椎雙裂，脊髓孔裂，薦尾椎發育不良，高位型無肛症，泌尿系异常，杵狀足以及環狀胰臟等。有12例接受手術矯正治療，其中的八位手術前已有神經學症狀，但是僅有2位，其症狀在手術後有些許改善。我們不單是要留意外表美觀上的一些病灶，更重要的是要找出皮膚病灶下的缺陷及合并的异常，并加以矯正。因此我們建議早期手術矯正治療，最好在神經學症狀出現之前。

並列摘要

Fourteen infants and children, 6 males & 8 females, with lipomyelomeningoceles were reviewed from October 1982 to December 1991 at Taichung Veterans General Hospital. The age at diagnosis ranged from 3 days to 5 years. The chief problems included mass on the back, urinary distention, weakness of lower limbs and poor bowel control. The cutaneous lesions over the lumbosacral region were subcutaneous lipoma, dimples and hemangioma. There were several associated anomalies, such as occult spina bifida, syringomyelia, sacrococcygeal dysgenesis, high-typed imperforate anus, genitourinary anomalies, congenital heart disease, talipes equinovarus and annular pancreas. Among the 12 cases who were operated on, 8 had preoperative neurological deficits, but there was only little postoperative improvement in 2. It is important to recognize at an early stage the defect underlying skin lesions and its associated anomalies, rather than to be concerned about cosmetic factors. Early surgical repair before the appearance of neurological deficits is recommended.

並列關鍵字

lipomyelomeningocele ； magnetic resonance image ； spina bifida occulta