摘要
目的:探讨儿童Arnold-Chiari畸形的手术治疗及效果。方法:对21例磁共振成像(MRl)证实的ACM儿童患者的手术治疗情况进行回顾性分析。21例患者均行后颅窝减压和硬脑膜扩大修补及小脑扁桃体切除,7例合并脊髓空洞者行脊髓中央管开口处探查。结果:本组17例有症状患儿中症状明显改善或改善者15例,无改善2例,好转率88%,无症状4例病情无加重。合并脊髓空洞的7例患儿复查MRI脊髓空洞明显改善者5例,无改变者2例,好转率71.4%。结论:后颅窝减压和硬脑膜扩大修补及小脑扁桃体切除术是治疗儿童ACM的有效方法,早期治疗对阻止病情的进行性加重可能起到重要的作用。
Objective： To investigate the surgical treatment and curative effect of Arnold- Chiari malformation in children. Methods：The surgical treatment of 21 children with Arnold - Chiari malfomation diagnosed by magnetic resonance inmging （MRI）were analysed retrospectively. The surgical procedures were carried out as posterior cranial fossa decompresion, endocraniumdura mater ancephalienlarge lasty and cerebellar tonsillectomy in 21 patients.7 patients associated with syringomyelia cut of the thin membrane over opening of central canal. Results：The clinical signs and symptoms were relieved and improved in 15 cases from 17 cases who had symptoms. 2 cases had no improvement, the efficient rate after operation was 88%. 4 eases with no symptoms had no exacerbation. To recheck MRI ,5 patients were improved in 7 case associated with syringomyelia, the efficient rate was 71.4%. Conclusion： Posterior eranial fossa decompression, endecraniunxtura mater ancephalienlarge neoplasty and cerebellar tonsillectomy is a effective method for treatment of Arnold - Chiari malformation. Early treatment to prevent aggravated ilhaess may play an important role.
出处
《激光杂志》
CAS
CSCD
北大核心
2009年第2期83-84,共2页
Laser Journal
关键词
儿童
ARNOLD-CHIARI畸形
整形
children
Amold- Chiari nmlformation
the surgical treatment and curative effect
