摘要
目的探讨Chiari畸形合并脊髓空洞(CM-SM)的外科诊治及疗效。方法选取本院2009年1月至2011年1月收治的通过磁共振成像确诊为Chiari畸形合并脊髓空洞的患者共10例,根据病情分别实施小骨窗后颅窝减压、小脑扁桃体切除、枕大池重建术以及空洞-蛛网膜下腔分流术,于术后半年至1年进行随访,10例患者中有9例接受了磁共振成像复查。结果根据Tator标准评价手术效果,10例患者中有效9例,无效1例,手术总有效率为90.0%,无死亡病例。结论磁共振是对Chiari畸形合并脊髓空洞患者诊断及术后评价最可靠的方法,采取小骨窗后颅窝减压、小脑扁桃体切除及枕大池重建术、空洞-蛛网膜下腔分流术治疗此类患者,是有效且安全的外科手术方法。
Objective To discuss diagnostic and treatment methods and curative effects of Chiari malformation with syringomyelia（CM SM）. Methods Ten patients hospitalized from January 2009 to January and diagnosed by MRI with CM - SM were chosen. Based on their conditions, they were respectively applied with small bone window posterior fossa decompression, cerebellar tonsillectomy, cistern magna reconstruction and emptysubarachnoid shunt. All patients were given followups within half to one year after operation. Nine patients accepted magnetic resonance imaging. Results The outcomes were evaluated by Tator criterion. Nine cases were effective, 1 case noneffective, the total efficiency being 90 % and death rate being zero. Conclusion MRI is the most reliable method of Chiari malformation with syringomyelia for diagnosis and postoperative evaluation for such patients. Small bone window posterior fossa decompression, cerebellar tonsillectomy, cistern magna reconstruction and empty - subarachnoid shunt are effective and safe treatment methods.
出处
《实用临床医药杂志》
CAS
2013年第15期122-123,共2页
Journal of Clinical Medicine in Practice
关键词
CHIARI畸形
脊髓空洞
磁共振成像
外科治疗
Chiari malformation
syringomyelia
magnetic resonance imaging
surgical management
