Objective To observe the clinical effect of treating Arnold Chiari I malformation with syringornyelia patients by two kinds of surgical treatment and explore a more effective surgical method. Method 42 Arnold Chiari I malformation with syringomyelia patients were enrolled in this study, they were divided into the A group and B group, then the complications after treatment and the clinical effect after 3 months' treatment in two groups were compared. Result There was no statistical significantrn(P>0.05 ) in the complications after treatment, there was a statistical significant (P<0.05 ) in the patients with superior clinical effect and syringomyelia reducing after treatment, the B group' clinical effect was better than the A group. Conclusion When we treat Arnold Chiari I malformation with syringomyelia patients surgical treatment, we should choose the posterior fossa dccomprcssion+syringomyclia cut shunt+cerebellar tonsils first, it could improve the clinical effect and did not increase the postoperative complications.%目的 比较两种手术方式治疗Arnold Chiari Ⅰ畸形合并脊髓空洞(ACM-SM)的临床疗效,探讨治疗ACMSM的有效手术方式.方法 选择ACM-SM患者42例,根据患者自愿的原则,分为A组和B组.A组患者行后颅窝减压术治疗;B组患者行后颅窝减压+脊髓空洞切开分流+小脑扁桃体切除治疗,比较两组患者治疗后的并发症及治疗3个月后的临床疗效.结果 两组患者术后并发症比较,差异无统计学意义(P>0.05);治疗3个月后临床疗效为优的病例及术后脊髓空洞缩小的病例比较,差异有统计学意义(P<0.05),B组优于A组.结论 手术治疗ACM Ⅰ合并SM患者时,应首选后颅窝减压+脊髓空洞切开分流+小脑扁桃体切除治疗的方式,可提高临床疗效,且不会增加术后并发症.
展开▼
