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显微外科治疗Chiari畸形并脊髓空洞75例临床分析
引用本文:吴先良,姜洪,邓忠勇,梁斗.显微外科治疗Chiari畸形并脊髓空洞75例临床分析[J].海南医学,2010,21(17):13-14,5.
作者姓名:吴先良  姜洪  邓忠勇  梁斗
作者单位:广西医科大学第七附院神经外科,广西,梧州,543001
基金项目:广西梧州市科学研究与技术开发计划项目 
摘    要:目的探讨显微外科治疗Chiari畸形并脊髓空洞(CM-SM)的临床效果,并讨论分析相关问题。方法回顾性分析75例CM-SM手术患者的临床资料。结果术后随访3个月至2年,有效68例,占90.67%(68/75),无效7例,占9.33%(7/75)。结论外科手术同时行枕下减压+小脑扁桃体切除+枕大池重建治疗CM-SM患者效果良好。

关 键 词:Chiari畸形  脊髓空洞  显微外科

Surgical treatment for Chiari malformation combined with syringomyelia
Institution:WU Xian-liang,JIAN Hong,DENG Zhong-yong,et al. Department of Neurosurgery,the Seventh Hospital Affiliated to Guangxi Medical University,Wuzhou 543001,Guangxi,CHINA
Abstract:Objective To investigate the clinical results on microsurgical treatment to Chiari malformation combined with syringomyelia(CM-SM),and discuss related issues.Methods Clinical data of 75 patients with CM-SM submitted to surgical treatment was analyzed.Results All cases were followed up for 3 months to 2 years,68 cases were effective,with effective rate of 90.67% (68/75); 7 cases was invalid,with effective rate of 9.33% (7/75).Conclusion For the patients with CM-SM underwent surgical treatment,simultaneously suboccipital decompression and resection of cerebellar tonsils cistern reconstruction will achieve good results.
Keywords:Chiari malformation  Syringomyelia  Microsurgery
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