| Chiari畸形合并脊髓空洞的外科治疗 |
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| 引用本文： | 寿记新,马林,宋来君,王新军,单峤,李培栋,刘泉,吴建珩.Chiari畸形合并脊髓空洞的外科治疗[J].中国实用神经疾病杂志,2007,10(3):99-100. |
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| 作者姓名： | 寿记新 马林 宋来君 王新军 单峤 李培栋 刘泉 吴建珩 |
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| 作者单位： | 1. 郑州大学第一附属医院神经外科,郑州,450052
2. 郑州大学第五附属医院神经外科,郑州,450052 |
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| 摘 要： | 目的 探查外科治疗chiari畸形合并脊髓空洞症的方法及效果.方法 对86例chiari畸形合并脊髓空洞,行后颅窝减压术21例,后颅窝减压脊髓空洞切开引流18例,后颅窝减压并小脑扁桃体切除47例,其中切除下疝小脑扁桃体,并脊髓中央管口假膜切开3例.结果 所有病例临床症状都有不同程度的缓解,72例病例术后脊髓空洞消失或明显缩小.结论 手术使延颈髓充分减压,可有效缓解症状,而切除下疝小脑扁桃体,并充分松解四脑室后正中出口处,更能有效缓解临床症状,减轻或消灭脊髓空洞.
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| 关 键 词： | chiari畸形 脊髓空洞 外科治疗 Chiari 畸形 合并脊髓空洞 外科治疗 syringomyelia complicated treatment 出口处 四脑室 松解 有效缓解 充分减压 颈髓 手术 术后 程度 临床症状 病例 结果 切开引流 |
| 文章编号： | 1673-5110（2007）03-0099-02 |
| 收稿时间： | 2007-03-16 |
| 修稿时间： | 2007年3月16日 |
Surgical treatment of chiari-anomalies complicated by syringomyelia |
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| Shou Jixin,MaLin, Song Laijun ,et al..Surgical treatment of chiari-anomalies complicated by syringomyelia[J].Chinese Journal of Practical Neruous Diseases,2007,10(3):99-100. |
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| Authors: | Shou Jixin MaLin Song Laijun |
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| Abstract: | Objective To investigate surgical treatment and effect of chiari- anomalies complicated by syringomyelia. Methods A total of 86 cases chiari anomalies complicated by syringomyelia, including 21 cases treated by posterior fossa decompression, 18 cases by posterior fossa decompression and incision drainage of syringomyelia, 47 cases by posterior fossa decompression and removal of tonsil of cerebellum with 3 cases plus incision drainage of central canal pseudomembrane were analyzed retrospectively. Results Clinical manifestasions remission were got in all 86 cases at various degree. 72 cases syringomyelia shrank or disappeared after operation. Conclusion Operation can make medulla oblongate get full decompression, remit clinical manifestasion. Posterior fossa decompression and incision drainage of syringomyelia plus removal of tonsillar bernia can get better effect and eliminate syringomyelia. |
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| Keywords: | Chiari anomalies Syringomyelia Surgical treatment |
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