脊髓空洞腹腔分流术治疗外伤后脊髓空洞症(附8例报告)  

Syringoperitoneal shunt for post-traumatic syringomyelia( report of 8 cases)

作　　者：韩波[1] 袁葛[1] 王贵怀[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100050

出　　处：《临床神经外科杂志》2013年第5期266-268,共3页Journal of Clinical Neurosurgery

摘　　要：目的研究脊髓空洞腹腔分流术治疗外伤后脊髓空洞的手术效果。方法回顾性分析8例外伤后脊髓空洞症患者采用脊髓空洞腹腔分流手术前后的临床资料,比较手术前后的临床症状。结果有5例症状较术前得以改善,1例症状无明显变化,2例加重。结论脊髓空洞腹腔分流术是治疗外伤后脊髓空洞症的有效方法,分流术后神经功能得以改善,空洞复发主要和分流管堵塞相关。有效的脊髓空洞症的外科治疗方式最终还要取决于对病因学及病理学机制的进一步研究。Objective To study the operative effects for post-traumatic syringomyelia with syringoperitoneal shunt. Methods The clinical data of 8 patients with post-traumatic syringomyelia underwent syringoperitoneal shunt were analyzed retrospectively,and the clinical symptoms of before and after operation were compared. Results 5 cases showed an improvement of symptoms,1remained stable and 2 worsened. Conclusions Syringoperitoneal shunt is an effective method for the treatment of post-traumatic syringomyelia. Syringoperitoneal shunt often shows an immediate neurological improvement,and syringomyelia recurs mainly because of the catheter blockage. The more effective treatment depends on more study on the mechanism of etiology and pathology.

关 键 词：脊髓空洞腹腔分流术 外伤后脊髓空洞症 蛛网膜炎 

分 类 号：R744.4[医药卫生—神经病学与精神病学]