Arnold-Chiari畸形治疗的不同术式疗效比较  

Clinical Comparison of Curative Effect after Different Surgical Treatment of Arnold-Chiari Malformation

作　　者：李铮[1] 潘保根[1] 崔澄[2] 蔡琦[1] 

机构地区：[1]河北省人民医院神经外科,石家庄050051 [2]白求恩军医学院,石家庄050081

出　　处：《白求恩军医学院学报》2008年第4期198-199,共2页Journal of Bethune Military Medical College

摘　　要：目的探讨Arnold-Chiari畸形不同手术方式的疗效差别。方法对102例MRI证实的Arnold-Chiari畸形病例的手术治疗情况进行回顾性分析。患者分别行单纯后颅窝骨性减压,后颅窝骨性减压及枕大池重建,后颅窝骨性减压及枕大池重建并小脑扁桃体软膜内切除。结果患者症状消失和改善共89例,总有效率87.3%;3种不同术式的术后有效率分别为97.5%、80.5%、81.0%,其中单纯后颅窝骨性减压术的有效率显著高于其他两种术式(均P<0.05)。结论后颅窝骨性减压是治疗Arnold-Chiari畸形合并脊髓空洞症简单且有效的术式。Objective To investigate the surgical treatment and curative effect of Amold-Chiari malformation. Method The surgical treatment of 102 patients with Amold-Chiari malformation diagaosed by magnetic resonance imaging（MRI） was analysed retrospectively. They were performed differently by posterior cranial fossa decompression, or posterior cranial fessa decompression with reconstruction of cistemals, or posterior cra- nial fossa decompression with reconstruction of cistemals and cerebellar tonsillectomy. Results The clinical signs and symptoms were relieved and improved in 89 cases.So the total efficient rate after operation was 87.3% ; the efficient rate after three operation were 97.5%, 80.5% and 81. 0%, respectively, in which treatment with posterior cranial fossa decompression showed more improvement than the other two approaches（ P 〈 0. 05）. Conclusion Posterior cranial fossa decompression is a simple and effective method for treatment of Amold-Chiari malformation.

关 键 词：ARNOLD-CHIARI畸形 后颅窝骨性减压术 

分 类 号：R744.4[医药卫生—神经病学与精神病学]