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脊髓拴系综合征并发皮肤溃疡

Li HAN,Jun-feng LI,Zhan-dong HAN,Zhan WANG

Journal of Clinical Dermatology（2018）

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Abstract
报告1例脊髓拴系综合征并发皮肤溃疡.患者女,25岁.因臀部反复溃疡6个月就诊.皮肤科检查:腰部一直径15cm包块,右臀部一5 cm×10 cm不规则溃疡,表面清洁,少许结痂,周围散在分布溃疡愈合后瘢痕.包块处CT检查示腰椎生理曲度变直,脊髓圆锥下延,平L4椎体中部,L5椎体棘突缺如,椎板未愈合,马尾神经平L5椎体下缘突出椎管,局部脂肪组织突入皮下,背部形成脂肪组织肿块.结合临床表现和实验室检查结果,诊断为脊髓拴系综合征并发皮肤溃疡.予手术治疗,及皮肤溃疡处予清创、换药,治疗后恢复良好,皮肤溃疡未再复发.
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Key words
tethered cord syndrome,cutaneous ulcer
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