颅后窝重建术治疗Chiari I畸形合并脊髓空洞症  

Posterior fossa reconstruction in the treatment of Chiari I malformation associated with syringomyelia

作　　者：沈建[1] 方黎明[1] 濮宏健[1] 朱岁军[1] 唐超[1] 周永庆[2] 黄红光[2] 

机构地区：[1]杭州师范大学附属余杭医院神经外科,浙江杭州311100 [2]浙江大学医学院第一附属医院神经外科王忠诚神经外科中心,浙江杭州311331

出　　处：《中华神经外科疾病研究杂志》2011年第1期49-52,共4页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的探讨后颅窝重建术(后颅窝减压+硬脑膜成形+小脑扁桃体切除+蛛网膜粘连分解)治疗Chiari I畸形合并脊髓空洞症的方法及疗效。方法 2002年11月至2008年1月对收治的46例Chiari I畸形合并脊髓空洞症患者行后颅窝重建术。结果后颅窝重建术症状改善率84.8%,脊髓空洞长度明显减小,KPS评分显著改善。结论后颅窝重建术是治疗Chiari I畸形合并脊髓空洞症较为合理的术式。Objective To evaluate posterior fossa reconstruction（posterior cranial fossa decompression,duraplasty,resection of the cerebellar tonsil and separation of the arachnoid membrane from the dura） in the treatment of Chiari I malformation.Methods A total of 46 patients suffered from Chiari I malformation associated with syringomyelia received posterior fossa reconstruction in our department from November 2002 to January 2008.Results The rate of symptom improvement post-operation was 84.8%.The length of syringomyelia was decreased significantly and KPS got remarkable improvement.Conclusion Posterior fossa reconstruction is a rational option for the treatment of Chiari I malformation associated with syringomyelia.

关 键 词：CHIARI I畸形 脊髓空洞症 小脑扁桃体 枕大池 

分 类 号：R651[医药卫生—外科学]