| 颅后窝重建术治疗Chiari I畸形合并脊髓空洞症 |
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| 引用本文： | 沈建,方黎明,濮宏健,朱岁军,唐超,周永庆,黄红光.颅后窝重建术治疗Chiari I畸形合并脊髓空洞症[J].中华神经外科疾病研究杂志,2011,10(1):49-52. |
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| 作者姓名： | 沈建 方黎明 濮宏健 朱岁军 唐超 周永庆 黄红光 |
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| 作者单位： | 1. 杭州师范大学附属余杭医院神经外科,浙江,杭州,311100
2. 浙江大学医学院第一附属医院神经外科,王忠诚神经外科中心,浙江,杭州,311331 |
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| 摘 要： | 目的探讨后颅窝重建术(后颅窝减压+硬脑膜成形+小脑扁桃体切除+蛛网膜粘连分解)治疗Chiari I畸形合并脊髓空洞症的方法及疗效。方法 2002年11月至2008年1月对收治的46例Chiari I畸形合并脊髓空洞症患者行后颅窝重建术。结果后颅窝重建术症状改善率84.8%,脊髓空洞长度明显减小,KPS评分显著改善。结论后颅窝重建术是治疗Chiari I畸形合并脊髓空洞症较为合理的术式。
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| 关 键 词： | Chiari I畸形 脊髓空洞症 小脑扁桃体 枕大池 |
Posterior fossa reconstruction in the treatment of Chiari I malformation associated with syringomyelia |
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| SHEN Jian,FANG Liming,PU Hongjian,ZHU Suijun,TANG Chao,ZHOU Yongqing,HUANG Hongguang.Posterior fossa reconstruction in the treatment of Chiari I malformation associated with syringomyelia[J].Chinese Journal of Neurosurgical Disease Research,2011,10(1):49-52. |
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| Authors: | SHEN Jian FANG Liming PU Hongjian ZHU Suijun TANG Chao ZHOU Yongqing HUANG Hongguang |
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| Institution: | 1Department of Neurosurgery,Affiliated Yuhang Hospital,Hangzhou Pedagogical University,Hangzhou 311100;2Center of Wang Zhongcheng Neurosurgery,Department of Neurosurgery,First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 311331,China |
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| Abstract: | Objective To evaluate posterior fossa reconstruction（posterior cranial fossa decompression,duraplasty,resection of the cerebellar tonsil and separation of the arachnoid membrane from the dura） in the treatment of Chiari I malformation.Methods A total of 46 patients suffered from Chiari I malformation associated with syringomyelia received posterior fossa reconstruction in our department from November 2002 to January 2008.Results The rate of symptom improvement post-operation was 84.8%.The length of syringomyelia was decreased significantly and KPS got remarkable improvement.Conclusion Posterior fossa reconstruction is a rational option for the treatment of Chiari I malformation associated with syringomyelia. |
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| Keywords: | Chiari |
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