| Arnold-ChiariI型畸形合并脊髓空洞的不同术式疗效分析 |
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| 引用本文： | 游文良,王海波.Arnold-ChiariI型畸形合并脊髓空洞的不同术式疗效分析[J].立体定向和功能性神经外科杂志,2014(2):98-100. |
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| 作者姓名： | 游文良 王海波 |
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| 作者单位： | 陕西省延安大学咸阳医院神经外科二病区,咸阳市712000 |
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| 摘 要： | 目的分析后颅窝骨性减压＋环枕筋膜松解术与后颅窝骨性减压术＋硬膜修补术两种术式在Arnold-Chiari I型畸形合并脊髓空洞患者的疗效。方法分析2008年3月至2013年3月在我院神经外科接受住院手术治疗的Amold—Chiari I型畸形患者的临床资料，根据手术方案分为A（后颅窝骨性减压＋环枕筋膜松解术）、B（后颅窝骨性减压术＋硬膜修补术）两组。结果本研究共入组患者100例，其中A组53例，B组47例。两种术式在最终手术治疗效果、术后并发症发生率、术后脊髓空洞变化方面均无显著性的差异（P均〉0．05），术后1周A组患者的CRP（t=2．107，P=0．038）和IL-6（t=2．550，P=0．012）水平低于B组。结论在有着相同的疗效下，A组患者术后炎症指标下降速度快于B组，相对有着更好术后恢复状况。
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| 关 键 词： | Arnold-Chiari畸形 脊髓空洞 术式 |
Analysis of different surgical treatment of Arnold-Chiari I malformation with syringomyelia |
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| You Wenliang,Wang Haibo.Analysis of different surgical treatment of Arnold-Chiari I malformation with syringomyelia[J].Chinese Journal of Stereotactic and Functional Neurosurgery,2014(2):98-100. |
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| Authors: | You Wenliang Wang Haibo |
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| Institution: | .( Yan＇an University Xianyang Hospital Department of Neurosurgery two in Xianyang province Shaanxi city, 712000) |
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| Abstract: | Objective Our retrospective study was aimed toanalyze the efficiency of different surgical treatment Arnold-Chiari malformation. Methods Clinical data of patients with- Arnold-Chiari malformationreceivedsurgical treatment at our hospitalfrom 2008 to 2013 was retrospectivelyanalyzed. Patients included were divided into two groups according to the different surgical treatment. Results A total of 100 patients were retrospective analyzed, including 53 in group A and 47 in group B. There were no significant difference between the two groups in the therapeutic efficacy, complications and the change of syringomyelia. Conclusion Patients in group Ahad a better recovery status than group B with the same therapeutic efficacy. |
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| Keywords: | Arnold-Chiari malformation Syringomyelia Surgery |
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