一期手术治疗颅底畸形伴脑积水和脊髓空洞  

Single-stage Surgical Treatment of Basilar Impression Malformation Accompanied with Hydrocephalus and Syringomyelia

作　　者：杨普[1] 孟发全[1] 高丙趁[1] 周风金[1] 

机构地区：[1]中国人民解放军第451医院神经外科,陕西西安710054

出　　处：《伤残医学杂志》2004年第1期30-32,共3页Medical Journal of Trauma and Disability

摘　　要：目的:探讨一期手术治疗颅底畸形伴脑积水和脊髓空洞的可行性及方法。方法:介绍手术的具体实施分三步进行,并强调手术注意要点。结果:6例患者一期手术成功,术后随访2年,临床症状和体征有不同程度改善,脑室基本正常,脊髓空洞闭合。结论:一期手术治疗颅底畸形伴脑积水和脊髓空洞是安全和可行的,效果是良好的。Objective: To explore the possibility and method of single-stage surgical treatment of basilar impression malformation accompanied with hydrocephalus and syringomyelia. Methods: The operation procedures were divided into three steps and the noticeable points of the operative course were emphasized. Results:The operation was achieved in all of 6 cases at an one-stage operation. 6 patients had been followed up for 48 months and neurological function gradually improved after surgery. Hydrocephalus recovered normal and syringomyelia closed. Conclusion: Single-stage for basilar impression malformation accompanied with hydrocephalus and syringomyelia should be safety and the outcome could be good.

关 键 词：颅底畸形 脑积水 脊髓空洞 手术治疗 临床症状 影像学检查 

分 类 号：R651.11[医药卫生—外科学] R742.7[医药卫生—临床医学]