期刊文献+

Chiari畸形Ⅰ型并脊髓空洞症术后翻修的疗效观察 被引量:9

The curative effect of revision operation for Chiari I malformation complicated with syringomyelia followed surgical treatment
收藏 分享 导出
摘要 目的 探讨Chiari畸形Ⅰ型并脊髓空洞症患者术后翻修的方法及疗效.方法 2004年5月至2013年4月收治Chiari畸形Ⅰ型并脊髓空洞症术后患者15例,患者均存在原有症状体征无改善或(和)加重,或(和)出现新的神经功能缺失,其中初次手术采用后颅窝大骨窗减压术8例,后颅窝骨窗减压+硬膜外层切开术3例,后颅窝成形术+硬膜扩大修补术2例,下疝小脑扁桃体切除术+枕大池成形术2例.翻修手术均采用下疝小脑扁桃体切除+第四脑室流出道探查术,3例行疏通术.结果 翻修术后随访4 ~ 47个月平均24.1个月,症状基本消失者8例,明显改善者5例,无改善者2例.MRI示小脑扁桃体下缘均达枕骨大孔上方,脊髓空洞均缩小.结论 对Chiari畸形Ⅰ型并脊髓空洞症术后疗效不佳者采用下疝小脑扁桃体切除+第四脑室流出道疏通术进行翻修是安全、可靠、有效方法. Objective To study the methods and the curative effect of revision operation for Chiari I malformation complicated with syringomyelia followed surgical treatment.Methods The clinical data of 15 patients underwent revision operation for Chiari Ⅰ malformation complicated with syringomyelia followed surgical treatment from May 2004 to April 2013 were retrospectively reviewed,they still had symptoms and signs or/and suffered from symptoms aggravated.In the prior operation there were the enlargement decompression posterior cranial fossa in 8 cases,the decompression with resection of outer layer of the dura in 3 cases,the small bone window craniotomy decompression of posterior cranial fossa and resection of the hernia of cerebella tonsil in 2 cases,the decompression of posterior cranial fossa and dura plastic repair in 2 cases.The resection of the hernia of cerebella tonsil and exploration the fourth ventricle outlet were performed in the revision operation of 15 cases,reconstruction of the fourth ventricle outlet in 3 cases.Results The follow-up study from 4 months to 47 months (average 24.1 months) shown that symptoms were disappeared in 8 cases,significantly improved in 3 cases,improved in 4 cases,and syringomyelia decreased in all cases.Conclusions The resection of the hernia of cerebella tonsil and reconstruction of the fourth ventricle outlet is a safe,reliable and effective treatment for patients with failure surgical management of Chiari Ⅰ malformation complicated with syringomyelia.
作者 王曲 高方友 刘窗溪 韩国强 熊云彪 王俊 姚倍金 尹浩 廖昆 Wang Qu,Gao Fangyou,Liu Chuangxi,Han Guoqiang,Xiong Yunbiao,Wang Jun,Yao Beijin(Departement of Neurosurgery, the People's Hospital of Guizhou Province, Guiyang 550002, China)
出处 《中华神经外科杂志》 CSCD 北大核心 2014年第8期819-823,共5页 Chinese Journal of Neurosurgery
关键词 Chiari畸形Ⅰ型 脊髓空洞症 翻修手术 Chiari Ⅰ malformation Syringomyelia Revision operation
作者简介 通信作者:刘窗溪,Email:lcx5933152@sina.com
  • 相关文献

参考文献11

二级参考文献97

共引文献163

同被引文献174

引证文献9

二级引证文献10

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈