摘要
目的探讨脊髓空洞症手术治疗适应证、手术方式及效果。方法对52例MRI证实的脊髓空洞症患者的手术治疗情况行回顾性分析,其中28例行后颅窝减压术,10例行后颅窝减压术+脊髓空洞蛛网膜下腔分流术。5例行脊髓空洞蛛网膜下腔分流,9例手术治疗原发病。结果患者术后临床症状明显改善37例,无改善但稳定12例,恶化3例。随访27例患者,空洞消失或基本消失者19例,缩小者6例,无改变者2例。结论后颅窝减压术,脊髓空洞切开分流术及后颅窝减压术+脊髓空洞蛛网膜下腔分流术是治疗脊髓空洞症的有效方法。
Objective To investigate indications, approaches and efficacies of surgical treatment for syringomyelia. Methods Retrospective analyses were conducted on clinical data of surgical treatment for 52 cases with MRI-diagnosed syringomyelia, among which 28 cases underwent posterior fossa decompression, 10 cases underwent posterior fossa decompression ＋ spinal cord cavity-subarachnoid cavity shunt, 5 cases underwent spinal cord cavity-subarachnoid cavity shunt and 9 cases underwent surgical treatment for their the primary affections. Results The clinical symptoms and signs in 37 cases were remarkably improved, unchanged but stable in 12 cases and deteriorated in 3 cases. The follow-up study on 27 cases found that spinal cord cavities in 19 cases disappeared or nearly disappeared, reduced in 6 cases and unchanged in 2 cases. Conclusion Posterior fossa decompression, shunt by incision of spinal cord cavity and posterior fossa decompression ＋ spinal cord cavity-subarachnoid cavity shunt are effective methods for the treatment of syringomyelia.
出处
《中华神经医学杂志》
CAS
CSCD
2007年第7期731-732,735,共3页
Chinese Journal of Neuromedicine
关键词
脊髓空洞症
后颅窝减压术
脊髓空洞切开分流术
Syringomyelia
Posterior fossa decompression
Shunt by incision of spinal cord cavity
