摘要
脊髓空洞症发病与先天性发育异常如Chiari畸形、外伤、手术、肿瘤、感染等继而引发脑脊液循环障碍有关。临床根据脊髓空洞症病因分为特发性与继发性两大类;根据影像学表现分为交通性、非交通性、萎缩性及肿瘤性脊髓空洞。针对复发性、特发性脊髓空洞症多采用空洞分流术,针对继发性脊髓空洞症主要纠正病因,如后颅窝减压术、切除脊髓内肿瘤等,近年来,脊髓空洞症的临床和基础研究取得了一系列的进展,本文拟通过对国内外相关文献综述,探讨脊髓空洞的临床分类及诊疗进展。
Syringomyelia is associated with congenital developmental abnormalities,such as Chiari malformation,trauma,surgery,tumors,infections,and other factors.Based on the etiology of syringomyelia,it can be classified into two categories:idiopathic and secondary.Secondary syringomyelia can further be categorized into communicating syringomyelia,non-communicating syringomyelia,atrophic syringomyelia,and traumatic syringomyelia based on imaging findings.The management of recurrent and idiopathic cases often involves the use of a syringomyelia shunt.For secondary cases of syringomyelia,treatment primarily focuses on addressing underlying causes such as correcting craniocervical junction malformations,relieving cerebrospinal fluid obstructions,or removing the intraspinal cord tumors.In recent years significant advancements have been made in both clinical and basic research related to the understanding of this condition.This study aims to investigate the progress made in clinical classification,diagnosis techniques and treatment strategies for patients with syringomyelia.
作者
龙浩天
都丁瑜
赵贵鹏
包明彬(综述)
刘进平
彭羽(审校)
LONG Haotian;DU Dingyu;ZHAO Guipeng;BAO Mingbin;LIU Jinping;PENG Yu(Medical School of University of Electronic Science and Technology,Chengdu 610054,China;Sichuan Academy of Medical Sciences,Sichuan People's Hospital,The Affiliated Hospital of University of Electronic Science and Technology of China,Chengdu 610072,China)
出处
《西部医学》
2025年第9期1400-1404,共5页
Medical Journal of West China
基金
四川省科技厅重点研发项目(2022YFS0144)。
关键词
脊髓空洞症
临床分类
手术治疗
研究进展
Syringomyelia
clinical classification
Surgical treatment
Research progress
