摘要
目的:探讨Arnold-Chiari畸形合并脊髓空洞症改良手术治疗方法及效果。方法:回顾分析42例Arnold-Chiari畸形合并脊髓空洞症实施改良手术治疗的临床资料。结果:42例患者中症状改善39例,有效率92.9%;所有患者小脑扁桃体下疝均纠正,脊髓空洞消失12例,缩小28例,无明显改善2例,有效率95.2%。结论:枕颈减压,松解后还纳下疝的小脑扁桃体于减压扩大的后颅窝腔,改善枕骨大孔区脑脊液(CSF)循环通路,扩大硬脑膜修补,重建适宜的后颅窝容积,恢复其正常解剖结构,这是Arnold-Chiari畸形并脊髓空洞安全显效的手术治疗方式。
Objective： To explore the more effective surgical treatment of Arnold-Chiari malformation （ACM） complicated with syringomyelia. Methods：The clinical data of 42 patients with syringomyelia complicated by Arnold-Chiari malformations were retrospectively reviewed. Results： 39 patients showed obvious clinical improvement, the remission rate was 92.9 % ,and magnetic resonance imaging demonstrated the Chiari malformation of all the 42 patients were rectified, and complete spontaneous resolution of syringobulbia in 12 patients,28 patients of syringobulbia deflated obviously, only 2 patients showed no obvious changes, the remission rate is 95.2 %. Conclusions：The surgical procedures Were carried out as the decompression of Occipital-cervical area, separation of adherence and resection of hernia below cerebella tonsil to the posterior fossa which had been expended, and finally keeping normal cerebrospinai fluid （CSF） circulation of the fora- men magnum, expanding duraplasty and rebuilding the appropriate volume of the posterior fossa, restoring its normal an atomical structure. It is a safe and effective surgical treatment of ACM complicated with syringomyelia.
出处
《中国误诊学杂志》
CAS
2010年第4期757-759,共3页
Chinese Journal of Misdiagnostics
基金
河南省杰出人才计划项目资助(编号:084200410011)
