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Chiari畸形并脊髓空洞症的MRI分型及其治疗
引用本文:杨俊,徐宇伦,范涛,罗世祺. Chiari畸形并脊髓空洞症的MRI分型及其治疗[J]. 中华神经外科杂志, 2000, 16(2): 82-84
作者姓名:杨俊  徐宇伦  范涛  罗世祺
作者单位:100050,北京天坛医院神经外科
摘    要:对Chiari畸形并脊髓空洞症治疗方法及其效果的探讨。方法对103例Chiari畸形病例根据其MRI征像分为A、B、C三种类型。结果依据其类型采用不同的手术方式,并获得了较为满意的治疗效果。结论手术使延颈髓充分减压,可有效缓解临床症状,并对脊髓空洞症有明显的治疗作用。

关 键 词:Ciari畸形 脊髓空洞症 分型 治疗 磁共振成像
修稿时间:1999-12-22

MRI classification and treatment of Chiari malformation complicated with syringomyelia
YANG Jun,XU Yulun,FAN Tao,et al.. MRI classification and treatment of Chiari malformation complicated with syringomyelia[J]. Chinese Journal of Neurosurgery, 2000, 16(2): 82-84
Authors:YANG Jun  XU Yulun  FAN Tao  et al.
Affiliation:YANG Jun,XU Yulun,FAN Tao,et al. Department of Neurosurgery,Beijing Tiantan Hospital,Beijing 100050
Abstract:Objective To disscus on the treatment of Chiari malformation complicated with syringomyelia.Methods 103 cases of Chiari malformation were classified into A, B, C three types on the basis of their MRI properties.Results Satisfing results were achieved by various surgical treatment to different types. Simple posterior fossa decompression was performed in 52 cases, posterior fossa decompression and incision of the syringomyelia in 29 cases, posterior fossa decompression and resection of the cerebellar tonsils in 22 cases.Conclusions Surgical treament may fully decompress the medulla oblongata and ameliorate the clinical syndromes. Repairation of the dura during the operation is effective to decrease the complications.
Keywords:Chiari malformation Syringomyelia Classification Treatment
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