后颅窝扩大成形术治疗Arnold-Chiari畸形合并脊髓空洞症的临床研究  

Expansive posterior fossa cranioplasty for syringomyelia associated with Arnold-Chiari malformation

作　　者：郝解贺[1] 郑安潮[1] 梁建涛[1] 仝海波[1] 

机构地区：[1]山西医科大学第一医院神经外科,030001

出　　处：《中国药物与临床》2005年第12期902-903,共2页Chinese Remedies & Clinics

基　　金：山西省科委攻关基金资助项目(200136)

摘　　要：目的研究Arnold—Chiari畸形合并脊髓空洞症显微外科手术中后颅窝底及寰椎后弓切除对脑组织和寰枕部稳定性的影响及钛网后颅窝扩大成形术对保持后颅窝结构、功能稳定的临床应用。方法对12例Arnold—Chiari畸形钛网后颅窝及寰椎后弓扩大成形患者与156例未成型患者的术后临床症状、枕颈部的稳定性及生活质量进行对照。结果12例扩大成型患者术后临床症状不明显,生活质量高;而未成型者多有头痛、头晕、枕颈交界部不适等症状以及惧怕枕颈部遭受外力的恐惧心理。结论钛网后颅窝及环椎后弓扩大成形术可相对维持后颅窝的生理结构,减少患者的临床症状,提高生活质量。Objective To report the experience in the treatment of expansive posterior fossa cranioplasty for syringomyelia associated with Arnold-Chiari malformation. Methods Contrast the life quality of 12 patients treated by expansive posterior fossa cranioplasty with that of 156 patients treated only by posterior fossa decompression. Results All patients got good clinical outcome with symptoms relieved. Conclusion Expansive posterior fossa cranioplasty is effective for syringomyelia associated with Arnold-Chiari malformation.

关 键 词：神经系统畸形 脊髓空洞症 后颅窝重建 

分 类 号：R651[医药卫生—外科学]