小脑扁桃体切除并枕大池重建术治疗Arnold-Chiari畸形并脊髓空洞症  

Cerebellar tonsilletomy and reconstruction of the cistern magna for treatment of syringomyelia with Chiari malformation

作　　者：包长顺[1] 杨福兵[1] 刘亮[1] 王斌[1] 夏祥国[1] 詹书良[1] 陈礼刚 

机构地区：[1]泸州医学院附属医院神经外科,646000

出　　处：《实用医学杂志》2011年第22期4108-4110,共3页The Journal of Practical Medicine

摘　　要：目的:探讨小脑扁桃体切除并枕大池重建术治疗Arnold-Chiari畸形并脊髓空洞症(ACM-SM)的手术疗效。方法:对2005年1月至2010年12月收治的109例ACM-SM患者,采用下疝小脑扁桃体切除并行枕大池重建术,按照Tator标准评价手术效果。结果:所有患者无一例死亡或恶化,随访69例患者,65例症状显著改善;核磁共振复查34例,结果显示枕大池均解剖成形,32例脊髓空洞消失或明显缩小。结论:小脑扁桃体切除并枕大池重建术是治疗合并脊髓空洞症的Arnold-Chiari畸形有效、合理的手术方式。Objective To explore the therapeutic effect of cerebellar tonsillectomy and cistern magna reconstrction in the treatment of Arnold-Chiari malformation associated with syringomyelia. Methods A retrospective analysis was conducted among 109 patients undergoing eerebellar Ionsilloetomy and cistern magna reconstruction from Jan 2005 to Dec 2010. The outcomes of the surgeries were evaluated using Tator criterion. Results No patient died or clinically aggravated when they discharged from hospital. During the follow-up of 69 patients for a mean of 2 years,65 patients showed obvious clinical improvement. Magetie resonance imaging employed in 34 patients demonstrated that all the cistern magna had been reconstructed and the syringomyelia disappeared or significant reduced in 32 cases. Conclusions Cerehellar tonsillectomy and cistern magna reconstrction should be an effective and advisable method for treament of Arnold-Chiari malformation associated with syringomyelia.

关 键 词：ARNOLD-CHIARI畸形 脊髓空洞症 小脑扁桃体切除 枕大池重建术 

分 类 号：R651.1[医药卫生—外科学]