摘要
目的探讨脊髓空洞症的发病机制和外科治疗。方法对1993年1月-2012年6月我科治疗的78例脊髓空洞症,男56例,女22例,年龄16~58岁,平均36.5岁。对所有患者行术前评估及MRI检查,根据原发疾病及MRI结果采用不同的手术方式。结果术后随访3个月至10年,根据症状、体征评定,明显改善46例,改善18例,无变化11例,恶化3例,总有效率82.1%。结论脊髓空洞症保守治疗无效,病情逐渐进展的脊髓空洞症应尽早手术治疗。手术方式主要根据患者原发疾病、症状、体征及MRI结果决定。
[ Objective ] To discuss the pathogenesis and surgical treatment of Syringomyelia. [ Methods ] 78 patients with Syringomyelia who underwent surgical treatment from 1993 to 2012 were analyzed retrospectively. There were 31 males and 15 females with ages ranged from 16 to 58 （ mean 36.5） years. Preoperative evaluation and MRI were obtained preoperatively in all the patients. According to the primary disease and MRI results using different operation modes. [ Resluts ] After a follow-up of 3 months to 10 years, according to the evaluation of symptoms and signs, apparent improvement were observed in 46 cases, improvement in 18 cases, no change in 11 cases, and deterioration in 3 cases, suggesting a total efficiency of 82.1%. [Conclusion] Conservative treatment of syringomyelia is usually invalid, therefore patients with progressive changes are suggested to be treated with operation as early as possible. Main mode of operation is dependent on the symptoms, signs and the MRI results.
出处
《中国医学工程》
2013年第6期23-24,共2页
China Medical Engineering
关键词
脊髓空洞症
发病机制
外科治疗
syringomyelia
pathogenesis
surgical treatment
