摘要
目的 探讨外科治疗脊髓空洞症方式及手术适应证。方法 对 2 0例患者行术前评估及头颅MRI检查 ,根据原发疾病及影像学特点选用不同的手术治疗方法。结果 随访 3个月至 10年 ,2 0例患者无手术死亡 ,1例在实行后颅窝减压术后出现脑脊液漏。症状明显改善 13例 ,好转 5例 ,加重或出现新的症状 2例。结论 脊髓空洞症的诊断主要依靠影像学检查 ,其手术方式主要根据原发疾病制定。
Objective To evaluate the surgical treatment method with syringomyelia.Methods Physical examination and MRI were taken before operations. Surgical treatments were selected according to their different original disorders. Results Follow-up for 3 months to 10 years showed that symptoms greatly improved in 13 cases, improved in 5 cases, deteriorated in 1 cases. No dead case.Conclusion Diagnosis of syringomyelia mainly depends on neurological imaging. Surgical treatment should aim at their original disorders.