摘要
目的介绍采用小骨窗颅后凹减压手术治疗小脑扁桃体下疝畸形(Chiari I畸形)手术术式,并评价效果。方法2005年6月～2010年6月,对34例小脑扁桃体下疝畸形,采用改良颅后凹小骨窗减压及人工硬脑膜修补手术治疗,并随访和统计其效果。结果34例患者手术操作简便,术后1月复查MRI,并按GOS评价:34例中恢复良好27例(79.4%),中残或重残6例(17.7%),死亡1例(2.9%)。随访2月～5年(28例),按Tator的标准评价:症状明显改善19例,部分改善7例,无变化2例。有效率占随访者92.9%,未见术后脑膨出及脑脊液漏等并发症。结论此术式既达到颅后凹减压目的,重建完整的硬膜,保持了脑脊液的畅通,具有良好临床效果。
【Objective】 To evaluate the clinical outcomes of a surgical approach for cerebella tonsil herniation,which was featured with small bone window decompression,reconstruction of Posterior Fossa by artificial duramater.【Methods】 From June 2005 to June 2010,34 patients with cerebella tonsil herniation and syringonyelia underwent the surgical procedure with small bone window decompression and reconstruction of posterior fossa by artificial duramater.The outcome was to be evaluated after 1 months of operation.【Results】 All patients revelation were satisfaction,followed up from 2 to 60months,and detected on MRI,1 months after operation.The prognosis was assessed by GOS,and showed as follows： healing well 27 cases,favorable turn 6 cases,dead 1 cases.All followed up patients was assessed by Tator,and 19 cases have improved significantly in the clinical symptom,7 cases have partial improved,without improvement 2 cases,which efficiency rate was 92.9% without operative complications of Encephalocele and CSF leakage.【Conclusion】 The approach of the current study was a reliable and effective method in the management of cerebella tonsil herniation and syringonyelia.
出处
《中国医学工程》
2010年第4期33-34,共2页
China Medical Engineering
