摘要
目的探讨后颅窝扩大重建术对Chiari畸形合并脊髓空洞症脊髓功能恢复的影响。方法选择56例Chiari畸形合并脊髓空洞症病人,显微镜下行后颅窝扩大重建术,定期随访,并与本科以往行后颅窝减压术的62例病人做疗效对比分析。结果后颅窝扩大重建术组的上肢、下肢、感觉障碍的有效率分别为75.7%、71.4%、70.0%,而后颅窝减压术组分别为58.5%、60.0%、65.9%。结论后颅窝扩大重建术是治疗Chiari畸形合并脊髓空洞症的有效方法,可作为外科治疗Chiari畸形合并脊髓空洞症的首选术式。
Objective To study the effect of posterior fossa reconstruction (PFR) on function recovery of spine cord in patients with Chiari malformation and syringomyelia. Methods 56 patients with Chiari malformation and syringomyelia were elected and PFR was performed in all cases. Follow-up and analytic comparison between the effect of PFR in 56 patients and posterior fossa decompression (PFD) in 62 patients was porformed. Results The efficiency rates of the motor function recovery in the upper and lower extremities and the recovery of the sensory disturbance were 75.68%, 71.42% and 70.00% respectively in PFR group and 58.53%, 60.00%, 65.91% in PFD group. Conclusion PFR is an effective method to be used as a preferred surgery method on the treatment of Chiari malformation.
出处
《中国微侵袭神经外科杂志》
CAS
2004年第4期151-153,共3页
Chinese Journal of Minimally Invasive Neurosurgery
