Arnold-ChiariⅠ型畸形合并脊髓空洞的不同术式疗效分析  

Analysis of different surgical treatment of Arnold-Chiari Ⅰ malformation with syringomyelia

作　　者：游文良 王海波[1] 

机构地区：[1]陕西省延安大学咸阳医院神经外科二病区,咸阳市712000

出　　处：《立体定向和功能性神经外科杂志》2014年第2期98-100,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的分析后颅窝骨性减压+环枕筋膜松解术与后颅窝骨性减压术+硬膜修补术两种术式在Arnold-Chiari I型畸形合并脊髓空洞患者的疗效。方法分析2008年3月至2013年3月在我院神经外科接受住院手术治疗的Arnold-Chiari I型畸形患者的临床资料,根据手术方案分为A(后颅窝骨性减压+环枕筋膜松解术)、B(后颅窝骨性减压术+硬膜修补术)两组。结果本研究共入组患者100例,其中A组53例,B组47例。两种术式在最终手术治疗效果、术后并发症发生率、术后脊髓空洞变化方面均无显著性的差异(P均>0.05),术后1周A组患者的CRP(t=2.107,P=0.038)和IL-6(t=2.550,P=0.012)水平低于B组。结论在有着相同的疗效下,A组患者术后炎症指标下降速度快于B组,相对有着更好术后恢复状况。Objective Our retrospective study was aimed toanalyze the efficiency of different surgical treatment Arnold-Chiari malformation. Methods Clinical data of patients with- Arnold-Chiari malformationreceivedsurgical treatment at our hospitalfrom 2008 to 2013 was retrospectivelyanalyzed. Patients included were divided into two groups according to the different surgical treatment. Results A total of 100 patients were retrospective analyzed, including 53 in group A and 47 in group B. There were no significant difference between the two groups in the therapeutic efficacy, complications and the change of syringomyelia. Conclusion Patients in group Ahad a better recovery status than group B with the same therapeutic efficacy.

关 键 词：ARNOLD-CHIARI畸形 脊髓空洞 术式 

分 类 号：R745.4[医药卫生—神经病学与精神病学]