摘要
脊髓空洞症的外科治疗方法各异。作者对２２例ＭＲ证实的脊髓空洞症患者，进行显微手术，术中用“Ｔ”型管行空洞－腹腔分流术。术后ＭＲ证实引流通畅，均可恢复生活自理。仅５例术后出现不同程度新的深感觉障碍，但２年后随访，这些症状已消失。定期ＭＲ和Ｂ超随访发现引流通畅，空洞消失或变为裂隙状。说明这种手术方法有效，符合患者生理情况。作者还对这种手术方法步骤及基本理论进行了描述和探讨。
We 22 cases of syringomyelia were verified by MR and treated by syrinxperitoneal shunting with “T” tube. After the operation, the patients were reexamined by MR and B ultrasound and confirmed that their shunting was functional. Symptoms of the patients disappeared. But four patients got slight numbness in one leg or at the saddle area. One patient suffered from a difficult movement in one hand. With the exception of 6 patients, 16 showed that both of the newly and original symptoms improved significantly. Follow up for 2 years with regular MR and B ultrasound reexaminations was made.The patients resumed their work and study. MR and B ultrasound reexaminations showed that all of syrinxes collapsed significantly as the same as that after the operation immediately. These mean that this kind of operation is useful and effective for most syringomeylias.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第11期681-683,I099,共4页
Chinese Journal of Surgery
关键词
脊髓空洞症
分流术
SP
T型管
Syringomyelia Encephalocele Cerebrospinal fluid shunts
