摘要
目的探讨Chiari畸形合并脊髓空洞的手术治疗方法。方法对46例经MRI证实的Chiari畸形合并脊髓空洞病人的临床资料进行回顾性研究,并分析不同的手术方式与疗效的关系。结果按Tator的标准进行判定,本组优33例,良8例,差5例。有效率为89．1%。结论后颅窝减压,小脑扁桃体切除和空洞-蛛网膜下腔分流,恢复枕大孔区CSF循环通畅是手术治疗Chiari畸形合并脊髓空洞的关键。
Objective To explore the more effective surgical treatment of Arnold-Chiari maformation with syringomyelia. Methods The clinncal data of 46 cases of Arnold-Chiari malformatiom diagnosed by MRI were analyzed retrospectively. The relationship between the curative effect and the operative form was discussed. Results According to by Tutor standard, the curative effect was excellent in 33 patients, good in 8, and bad in 5. The effective rate was 89.1% （41/46）. Conclusions The points key to surgical treatment of Amold-Chiari maformation with syringomyelia include posterior fossa decompression, cerehellar tonsillectomy, syringomyelia-subarachnoid cavity shunt, and reconstruction of CSF cycle.
出处
《中国临床神经外科杂志》
2006年第5期282-284,共3页
Chinese Journal of Clinical Neurosurgery
