Cobb’s综合征的临床诊断与治疗  

Clinical diagnosis and treatment of Cobb’s Syndrome

作　　者：王建生[1] 王志潮[1] 柳江[1] 张鸿祺[2] 

机构地区：[1]北京市海淀医院神经外科,100080 [2]首都医科大学宣武医院神经外科

出　　处：《北京医学》2012年第10期884-886,共3页Beijing Medical Journal

摘　　要：目的总结Cobb’s综合征临床诊断和治疗的经验体会。方法采用磁共振成像与脊髓血管造影确定诊断后,采用血管内栓塞与手术切除相结合的方法消除病变对脊髓的损害,恢复脊髓功能。手术后连续随访确定患者的治疗效果和预后。结果 4例临床治愈,1例在手术实施血管畸形近全切除5年后再出血,经过再次栓塞后恢复。结论成功的治疗要依靠先栓塞治疗后手术切除的完整结合,任何一项治疗的不彻底都不能完全消除病变,易复发。Objective To explore the experiences in the clinical diagnosis and treatment of Cobb＇s syndrome. Methods The diagnosis was verified by MRI and selective spinal angiography. Intravascular embolization combined with surgical resection were applied to relieve and recover the spinal cord dysfunction caused by the lesions. Postoperative consecutive follow-up study were undertaken to evaluate the outcomes. Results Four patients were cured, one patient had hemorrhage 5 years after a subtotal resection and was recovered by another intravascular embolization, Conclusion The authors emphasize that successful treatment depends on a complete combination of a first-choice intravascular em-bolization and a complete resection of lesions. Any incomplete application of the above-mentioned procedures will abso- lutely result in failure of treatment.

关 键 词：Cobb’s综合征 脊柱血管疾病 诊断 治疗 

分 类 号：R651.2[医药卫生—外科学]