[1]赵树鹏,申法政,李祥生,等.Chiari畸形Ⅰ型显微外科手术治疗效果观察[J].新乡医学院学报,2016,33(6):524-526.[doi:10.7683/xxyxyxb.2016.06.022]
　ZHAO Shu-peng,SHEN Fa-zheng,LI Xiang-sheng,et al.Effect of microsurgery on Chiari malformation typeⅠ[J].Journal of Xinxiang Medical University,2016,33(6):524-526.[doi:10.7683/xxyxyxb.2016.06.022]
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Chiari畸形Ⅰ型显微外科手术治疗效果观察
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年6
页码:
524-526
栏目:
临床研究
出版日期:
2016-06-05

文章信息/Info

Title:
Effect of microsurgery on Chiari malformation typeⅠ
作者:
赵树鹏; 申法政; 李祥生; 马继伟; 赵新利; 惠　磊; 周文科
（新乡医学院第一附属医院神经外科，河南　卫辉　453100）
Author(s):
ZHAO Shu-peng; SHEN Fa-zheng; LI Xiang-sheng; MA Ji-wei; ZHAO Xin-li; HUI Lei; ZHOU Wen-ke
（Department of Neurosurger，the First Affiliated Hospital of Xinxiang Medical University，Weihui 453100，Henan Province，China）
关键词:
Chiari畸形; 脊髓空洞症; 显微外科手术
Keywords:
Chiari malformation; syringomyelia; microsurgery
分类号:
R682.1
DOI:
10.7683/xxyxyxb.2016.06.022
文献标志码:
A
摘要:
目的　探讨Chiari畸形Ⅰ型的显微外科手术治疗方法及临床效果。方法　回顾性分析2013年6月至2015年6月于新乡医学院第一附属医院行显微外科手术治疗的36例Chiari畸形Ⅰ型患者的临床资料。结果　36例患者均行手术治疗，其中后颅窝骨性减压+硬脑膜扩大修补术8例，后颅窝骨性减压+蛛网膜下腔粘连松解术+硬脑膜扩大修补术6例，后颅窝骨性减压+蛛网膜下腔粘连松解术+小脑扁桃体切除（或电凝回缩）术+硬脑膜扩大修补术19例，后颅窝骨性减压+脊髓空洞-蛛网膜下腔分流术+硬脑膜扩大修补术3例。术后3个月复查评估，神经系统症状改善30例，无变化4例，加重2例。随访6～36个月，28例患者小脑扁桃体恢复至正常位置，其余8例患者较术前不同程度回缩；25例合并脊髓空洞症患者中，18例脊髓空洞不同程度缩小，5例稳定无变化，2例空洞增大。结论　显微外科手术是Chiari 畸形Ⅰ型有效的治疗方法，可以有效缓解患者病情。
Abstract:
Objective　To explore the effect of microsurgical treatment on Chiari malformation typeⅠ.Methods　The clinical data of 36 patients with Chiari malformation type Ⅰ who underwent microsurgery in the First Affiliated Hospital of Xinxiang Medical University from June 2013 to June 2015 were analyzed retrospectively.Results　A total of 36 patients were treated with surgical treatment，including posterior cranial fossa decompression and dural enlargement repair in 8 cases；posterior cranial fossa decompression combined with subarachnoid adhesiolysis and dural enlargement repair in 6 cases；posterior cranial fossa decompression，subarachnoid adhesiolysis，cerebellar tonsil resection and dural enlargement repair in 19 cases；posterior cranial fossa decompression，syringo-subarachnoid shunt and dural enlargement repair in 3 cases.Three months after surgery，the neurological symptoms were improved in 30 cases，no change in 4 cases，and 2 cases were aggravated.The patients were followed up for 6 to 36 months，the cerebellar tonsil returned to normal position in 28 cases，the cerebellar tonsil retracted certainly in 8 cases.Among 25 patients with syringomyelia，the cavities of 18 patients were shrank in different degrees，no change in 5 cases，and the cavities increased in 2 cases.Conclusion　Microsurgery is an effective treatment for Chiari malformation typeⅠ，which can effectively alleviate the patient′s condition.

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更新日期/Last Update: 2016-06-05