| 雷琢玮,舒凯,蒋伟,等.单纯后颅窝减压术治疗Chiari Ⅰ型畸形合并脊髓空洞症的效果研究.骨科,2015,6(1): 6-8. |
| 单纯后颅窝减压术治疗Chiari Ⅰ型畸形合并脊髓空洞症的效果研究 |
| Effectiveness of posterior fossa decompression to Chiari malformation type Ⅰ complicated by syringomyelia |
| 投稿时间：2014-10-30 |
| DOI：10.3969/j.issn.1674-8573.2015.01.002 |
| 中文关键词: Chiari Ⅰ型畸形 后颅窝 减压术，外科 脊髓空洞症 治疗结果 |
| 英文关键词: Arnold Chiari malformation type Ⅰ Posterior cranial fossa Decompression, surgical Syringomyelia Treatment outcome |
| 基金项目:国家自然科学基金资助项目（No.81270865） |
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| 中文摘要: |
| 目的 探讨单纯后颅窝小骨窗骨性减压术治疗Chiari Ⅰ型畸形合并脊髓空洞症的临床疗效。方法 对我院神经外科2008年1月至2014年4月收治的27例Chiari Ⅰ型畸形合并脊髓空洞症患者的临床资料进行回顾性分析，并依据Tator评价标准对所有病例的恢复情况进行评估。结果 术后全部患者的感觉及运动症状均有改善，出院时依据Tator评价标准评估疗效，优17例，良10例；术后随访24例患者，随访时间0.5～6.0年，患者症状均有缓解，且MRI检查提示脊髓空洞较术前缩小或塌陷，无小脑移位等并发症出现，末次随访时依据Tator评价标准评估疗效，优15例，良8例，差1例。结论 单纯后颅窝小骨窗骨性减压术并发症少，远期效果理想，是治疗Chiari Ⅰ型畸形的一种有效方法。 |
| 英文摘要: |
| Objective To investigate the effectiveness of posterior fossa decompression in the treatment of Chiari malformation type Ⅰ complicated by syringomyelia. Methods In our hospital, from Jan. 2008 to Apr. 2014, the clinical data of 27 cases of Chiari malformation type Ⅰ complicated by syringomyelia were analyzed retrospectively. Results Clinical remission was obtained in all 27 cases to varying degrees. Their symptoms were alleviated, and no postoperative complications occurred. Magnetic resonance imaging showed syringomyelia shrank or disappeared. According to Tator's standard, the curative effectiveness was excellent in 17 cases, and good in 10 cases at discharge. A total of 24 patients were followed up for 6 months to 6 years, and the curative effectiveness was excellent in 15 cases, good in 8 cases, and bad in 1 case respectively. Conclusion The single posterior fossa decompression is an effective treatment to the Chiari malformation type Ⅰ complicated by syringomyelia with a high success rate and few complications, and the long-term therapeutic effectiveness was satisfactory. |
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