摘要
目的探讨ChiariΙ型畸形合并脊髓空洞症、颈椎病等的手术治疗方法。方法通过对174例经MRI证实的Arnold-Chiari畸形患者进行回顾性研究,分析不同的合并症与手术方式之间的关系。结果174例中全部有小脑扁桃体下疝及脊髓空洞,合并颅底凹陷51例,脊柱侧弯19例,环枕融合20例,颈椎管狭窄22例。手术总有效率94.8%。结论ChiariΙ型畸形系颅颈交界区畸形常合并不同的脊柱、脊髓畸形。手术时应详细了解病变情况,采取不同的手术方式。
Objective To explore the appropriate surgical procedure for Chiari Ⅰ malformation complicated by syringomyelia and cervical spondylopathy. Method The clinical data of 174 patients with Chiari Ⅰ malformation diagnosed as by MRI were analyzed retrospectively to explore the relationship between the complications and the operative method. Results All the 174 patients had the cerebellar tonsil hernia and syringomyelia, 51 basilar invagination, 19 scoliosis, 20 atlanto-occipital fusion and 22 cervical spondylo-pathy. The operative effect was satisfactory (94.8%). Conclusions Chiari Ⅰ malformation is a common malformation in the craniocer-vical junction and often complicated by verterarium and spinal cord malformations. It is necessary to make a detailed assessment of its pathological anatomy and a choice of the different operation.
出处
《中国临床神经外科杂志》
2005年第1期1-4,共4页
Chinese Journal of Clinical Neurosurgery
