Surgical treatment of Chiari malformation accompanied by syringomyelia

ZHANG Yun-dong; et al

doi:10.13406/j.cnki.cyxb.2010.03.018

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Surgical treatment of Chiari malformation accompanied by syringomyelia

更新时间：2024-01-17

- Surgical treatment of Chiari malformation accompanied by syringomyelia
- Journal of Chongqing Medical University Vol. 35, Issue 3, Pages: 424-426(2010)
- 作者机构：
  
  1. 第三军医大学大坪医院野战外科研究所神经外科
  2. 万州区中西医结合医院
  3. 第三军医大学大坪医院野战外科研究所老年科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.03.018
  CLC： R651.11
- Published：2010，
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[1]张云东,谢家洪,周济,沈光建,任明亮,顾小红.Chiari畸形合并脊髓空洞症后颅窝扩大成形手术方式探讨[J].重庆医科大学学报,2010,35(03):424-426.

ZHANG Yun-dong, et al. Surgical treatment of Chiari malformation accompanied by syringomyelia. [J]. Journal of Chongqing Medical University 35(3):424-426(2010)
[1]张云东,谢家洪,周济,沈光建,任明亮,顾小红.Chiari畸形合并脊髓空洞症后颅窝扩大成形手术方式探讨[J].重庆医科大学学报,2010,35(03):424-426. DOI： 10.13406/j.cnki.cyxb.2010.03.018.

ZHANG Yun-dong, et al. Surgical treatment of Chiari malformation accompanied by syringomyelia. [J]. Journal of Chongqing Medical University 35(3):424-426(2010) DOI： 10.13406/j.cnki.cyxb.2010.03.018.

摘要

目的:探讨扩大重建后颅窝不同大小减压骨窗对治疗Chiari畸形合并脊髓空洞症脊髓功能恢复的作用。方法:87例Chiari畸形合并脊髓空洞症病人行枕大池成形术

其中51例行后颅窝大骨窗减压与36例行后颅窝小骨窗减压手术治疗效果分析

定期随访。结果:术后大骨窗减压51例患者中

22（43.1%）例症状改善明显

10例症状无明显变化

5例病情加重;小骨窗减压36例患者中

28（77.8%）例症状改善明显

3例病情稳定。小骨窗减压术后症状改善明显、远期效果稳定。结论:后颅窝骨窗减压硬脑膜修补术是治疗Chiari的有效方法

小骨窗减压具有创伤小、症状改善明显和疗效稳定的优势。

Abstract

Objective:To study the different modus operandi of posterior fossa decompression on function recovery of spine cord in patients with Chiari malformation and syringomyelia.Methods:Of 87 patients with Chiari malformation and syringomyelia

51 patients were selected and big craniectomy was performed in all cases.The effects of big craniectomy in 51 patients and mini craniectomy in 36 patients were compared.Results:Among the 51 patients

22 patients(43.1%) improved significanly in their clinical symptoms

10 cases were stabilized

and 5 cases deteriorated.Among the 36 patients

28 patients(77.8%) improved significanly in their clinical symptoms

and 3 cases were stabilized.Conclusion:Surgical treatment may fully ameliorate the clinical syndromes.Mini craniectomy and expansile reconstruction of posterior fossa is a preferred surgery for the treatment of ChiariⅠmalformation.

关键词

Chiari畸形脊髓空洞症后颅窝扩大减压术

Keywords

Chiari malformationSyringomyeliaPosterior fossa decompression

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