颅底凹陷症的临床分型及治疗探讨  

Clinical classification and treatment of basilar invagination

作　　者：陈晨[1] 崔政[1] 白磊[1] 严飞平 郑虎林[1] 

机构地区：[1]陕西省榆林市第一医院神经外科,榆林719000

出　　处：《陕西医学杂志》2016年第8期965-966,共2页Shaanxi Medical Journal

基　　金：陕西省榆林市科技计划项目(2014JH-22)

摘　　要：目的:探讨颅底凹陷症的临床分型与相关治疗。方法:回顾性分析我院颅底凹陷症的患者24例,回顾分析其术前临床症状,影像学资料,术后及随访期间影像学资料,JOA评分及Ranawat分级情况。结果:本组患者24例术后均获得满意疗效,术后2周应用JOA评分比较由术前9.44±3.63分提升至12.86±2.73分,差异具有统计学意义(P<0.05)。随访24个月,JOA评分为13.92±2.47分,较术前差异具有统计学意义(P<0.05)。17例合并脊髓空洞的患者中10例明显缩小(缩小程度>50%),6例有所缩小(缩小程度<50%),1例无明显变化。结论:根据是否伴有脊髓空洞,将颅底凹陷症分为4型,可反映其病理特征,同时联合影像学进行评估,提高先天性颅底凹陷症的诊断及治疗。Objective：To investigate the clinical classification and treatment of basilar invagination.Methods：retrospective analysis of 24 patients admitted in our hospital that admitted to the basilar invagination,the clinical symptoms,imaging data,postoperative and follow-up data,JOA score and Ranawat classification.Results：24cases of patients were satisfied with the results,2weeks after operation,the JOA score was increased from 9.44to3.63（12.86±2.73）,the difference was statistically significant（P〈0.05,t=4.531）.At 24 months follow-up,the JOA score was（13.92±2.47）,and the difference was statistically significant（P〈0.05,t=5.162）.10 patients with 17 cases of the patients with spinal cord holes were significantly reduced（50%）,6patients had reduced（50%）,1patients had no obvious change.Conclusion：According to whether the patients with spinal cord cavity,the skull base depression can be divided into 4types,which can reflect the pathological features,combined with the assessment,improve the diagnosis and treatment of congenital basilar depression.

关 键 词：@颅底凹陷 外科手术 

分 类 号：R651[医药卫生—外科学]