摘要
目的:观察Arnold-chiari畸形并脊髓空洞症的手术治疗方法及效果。方法:对24例Arnold-chiari畸形并脊髓空洞症患者进行手术治疗,根据不同情况,予后颅窝减压、小脑扁桃体切除、脊髓空洞切开分流术等手术,以解除枕骨大孔区畸形,缓解对后组颅神经压迫,并恢复椎管内脑脊液正常循环状态。结果:24例患者术后临床症状均有不同程度改善。术后随访复查MRI可见小脑扁桃体下疝回纳,脊髓空洞缩小。结论:对Arnold-chiari畸形并脊髓空洞症患者,根据其影像学检查(MRI)采取不同手术方法,可达到满意疗效。
Objective:To study the method of operative treatment for Arnold-chiari deformity associated with syringomyelia.Methods:24cases of Arnold-chiari deformity associated with syringomyelia were performed operative treatment.According to different conditions,different operations were given,including posterior cranial fossa decompression,cerebellar tonsillectomy,syringomyelia section and so on,whose purposes were to remove the deformity of great occipital foramen region,relieve the compression on the cranial nerves of posterior group and recover the normal circulation of cerebraospinal fluid in vertebral canal.Results:The clinical symptoms in all cases were improved in different degress after operation.The inferior hernia of cerebellar tonsil had recovered after follow-up by MRI examination.The cavity of spinal cord reˉduced.Conclusion:The different operative styles in patients with Arnold-chiari deformity associated with syringomyelia should be adopted acˉcording to the patient's conditions and imaging examinations,which can attain a satisfactory effect.
出处
《现代医药卫生》
2005年第13期1635-1636,共2页
Journal of Modern Medicine & Health
