手术治疗脊髓空洞症远期疗效分析  

Analysis of Long-term Surgical Effect of Surgery on Syringomyelia

作　　者：郭俭[1] 高述礼[1] 汪凯[1] 汤深[1] 祝宏春[1] 申存瑛 

机构地区：[1]中国人民解放军第401医院神经外科,山东青岛266071

出　　处：《中国临床神经外科杂志》2005年第3期164-166,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的分析手术治疗脊髓空洞症的远期疗效,探讨有效弥补方法。方法对我院1990年11月至1996年12月收治的脊髓空洞症患者500例进行书面随访及预约复查,分析影响远期疗效的因素。结果成功了随访316例。手术后1年内疗效为92.72%;年龄、病程、空洞类型、手术方法是影响近期疗效的主要因素;后颅窝粘连、空洞再扩大、脊髓萎缩可能是影响远期疗效的主要原因。结论传统手术方法对脊髓空洞症近期疗效较好,远期疗效则无法保障。Objective To Analyze the long-term curative effect of the traditional surgical operation on syringomyelia. Methods Five hundred patients, who underwent surgery for syringomyelia from November 1990 to December 1996, were followed up. The factors influencing the long-term curative effect on them were analyzed. Results The follow up was successful in 316 of 500 patients followed up. Of the 316 patients, 92.72% improved in symptoms a year after the operation. The short-term curative effect was influenced by the age, the course of disease, the type of syringomyelia and operative way in the patients with syringomyelia. The adhesion of posterior fossa, re-extending syringomyelia and the spinal cord atrophy were the main factors affecting the long-term curative effect. Conclusion The short-term curative effect of the traditional surgical operation on the syringomyelia is good, but its long-term curative effect can not be guarantee.[

关 键 词：脊髓空洞 外科治疗 远期疗效 

分 类 号：R651.2[医药卫生—外科学]