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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 7 - 10 (4page)
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초록· 키워드
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Objective: To examine the effect of meningomyelocele sac size on prognosis by retrospective review of 64 cases operated for meningomyelocele between January 2009 and December 2012. Methods: We evaluated newborn babies operated for meningomyelocele by retrospectively reviewing their files for head circumference, location and with of the defect, accompanying anomalies, treatments administered, drugs that mother used during pregnancy. Based on the defect size, 3 patient groups were created as 0-24 cm2 (group I), 25-39 cm2 (group II), and 40 cm2 and above (group III). Results: Throughout the study, 64 babies were evaluated. Mean head circumference was 37.4 cm (range, 30.7-50 cm). Based on their location, 49 of the defects (76.5%) were lumbar, 7 (10.9%) were thoracolumbar, 4 (6.2%) were thoracic, 3 (3.1%) were sacral, 1 (1.5%) was cervical. Mean size of the meningomyelocele sac was 4.7 cm×5.8 cm (range, 1 cm×1 cm—10 cm×8 cm), 13 of the babies (20.3%) had skin defect requiring flap. According to accompanying anomalies, 47 of the babies (73.4%) had hydrocephalus, 7 (10.9%) had club foot, 1 (1.5%) had diastematomyelia, 1 (1.5%) had tethered cord. Thirty-nine of the babies (60.9%) had paraplegia, 10 (15.6%) had paraparesis, 8 (12.5%) had monoplegia; neurological examination in the remaining 7 babies was normal. Conclusion: In our study, increased diameter of meningomyelocele sac was associated with greater amount of neural tissue within the sac, which worsens the prognosis. Sac localization was not changing prognosis but infection rates, hospitalization duration were increased in babies with bigger diameter of sacs.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Back SA / 2005 / Avery’s Diseases of the Newborn / Elsevier :938~959
Canfield MA / 2009 / Anencephaly and spina bifida among Hispanics:maternal, sociodemographic, and acculturation factors in the National Birth Defects Prevention Study / Birth Defects Res A Clin Mol Teratol 85:637~646
Idowu OE / 2008 / Outcome of myelomeningocoele repair in sub-Saharan Africa: the Nigerian experience / Acta Neurochir (Wien) 150:911~913
Koszutski T / 2009 / Babies with myelomeningocele in Poland:parents’ attitudes on fetal surgery versus termination of pregnancy / Childs Nerv Syst 25:207~210
Kshettry VR / 2014 / Myelomeningocele: surgical trends and predictors of outcome in the United States, 1988-2010 / J Neurosurg Pediatr 13:666~678
Canfield MA / 2009 / Anencephaly and spina bifida among Hispanics:maternal, sociodemographic, and acculturation factors in the National Birth Defects Prevention Study / Birth Defects Res A Clin Mol Teratol 85:637~646
Idowu OE / 2008 / Outcome of myelomeningocoele repair in sub-Saharan Africa: the Nigerian experience / Acta Neurochir (Wien) 150:911~913
Koszutski T / 2009 / Babies with myelomeningocele in Poland:parents’ attitudes on fetal surgery versus termination of pregnancy / Childs Nerv Syst 25:207~210
Kshettry VR / 2014 / Myelomeningocele: surgical trends and predictors of outcome in the United States, 1988-2010 / J Neurosurg Pediatr 13:666~678
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