两种手术方式治疗Arnold ChiariI畸形合并脊髓空洞的临床疗效比较  

作　　者：罗飚 

机构地区：[1]广东省台山市人民医院神经外科,529200

出　　处：《浙江临床医学》2012年第7期805-807,共3页Zhejiang Clinical Medical Journal

摘　　要：目的比较两种手术方式治疗Arnold ChiariI畸形合并脊髓空洞（ACM—SM）的I临床疗效，探讨治疗ACM—SM的有效手术方式。方法选择ACM—SM患者42例，根据患者自愿的原则，分为A组和B组。A组患者行后颅窝减压术治疗；B组患者行后颅窝减压＋脊髓空洞切开分流＋小脑扁桃体切除治疗，比较两组患者治疗后的并发症及治疗3个月后的临床疗效。结果两组患者术后并发症比较．差异无统计学意义（P〉0．05）；治疗3个月后临床疗效为优的病例及术后脊髓空洞缩小的病例比较，差异有统计学意义（P〈0．05），B组优于A组。结论手术治疗ACMI合并SM患者时，应首选后颅窝减压＋脊髓空洞切开分流＋小脑扁桃体切除治疗的方式，可提高临床疗效，且不会增加术后并发症。Objective To observe the clinical effect of treating Arnold Chiari I malformation with syringomyelia patients by two kinds of surgical treatment and explore a more effective surgical method. Method 42 Arnold Chiari I malformation with syringomyelia patients were enrolled in this study, they were divided into the A group and B group, then the complications after treatment and the clinical effect after 3 months＇ treatment in two groups were compared. Result There was no statistical significant （ P〉0.05 ） in the complications after treatment, there was a statistical significant （ P〈0.05 ） in the patients with superior clinical effect and syringomyelia reducing after treatment, the B group＇ clinical effect was better than the A group. Conclusion When we treat Arnold Chiari Ⅰ malformation with syringomyelia patients surgical treatment, we should choose the posterior fossa decompression＋syringomyelia cut shunt＋cerebellar tonsils first, it could improve the clinical effect and did not increase the postoperative complications.

关 键 词：手术方式 ARNOLD CHIARI Ⅰ畸形 合并 脊髓空洞 临床疗效 

分 类 号：R742.82[医药卫生—神经病学与精神病学]