...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Experimental and therapeutic medicine >Surgical treatment of Chiari I malformation complicated with syringomyelia
【24h】

Surgical treatment of Chiari I malformation complicated with syringomyelia

机译：Chiari I畸形并发脊髓空洞症的手术治疗

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The aim of this study was to evaluate the curative effects of various surgical procedures on Chiari I malformation (CMI) complicated with syringomyelia. A total of 185 patients with CMI complicated with syringomyelia who received treatment between January 1997 and December 2011 were recruited. All patients underwent posterior fossa decompression in which the lamina of the first cervical vertebra was removed, with the removal of the second or third depending on the severity of the cerebellar tonsil herniation. Of the patients, 76 underwent large-bone-window decompression and duraplasty, while 109 underwent small-bone-window decompression, displaced cerebellar tonsil resection and duraplasty. The curative effects of the different surgical procedures were analyzed retrospectively. Clinical symptoms were eliminated or improved in 156 patients (84.3%) by the time of discharge from hospital. A total of 148 patients were evaluated using magnetic resonance imaging (MRI) which revealed that the cisterna magna was reconstructed in 92 patients and spinal syrinx was reduced in 75. Follow-up was performed on 147 patients (79.5%) for between 3 months and 12 years. During the follow-up, symptoms were eliminated or improved in 110 patients (74.8%), not improved in 26(17.7%) and deteriorated in 11(7.5%). MRI was performed on 95 patients during follow-up examinations and the cisterna magna was reconstructed in 87 patients and spinal syrinx was reduced in 79. Small-bone-window decompression plus duraplasty is an effective surgical procedure for treating CMI complicated with syringomyelia and intraoperative cerebellar tonsillectomy significantly aids patient recovery.
机译：这项研究的目的是评估各种手术程序对Chiari I畸形（CMI）并发脊髓空洞症的疗效。总共招募了1997年1月至2011年12月间接受治疗的185例CMI并发脊髓空洞症患者。所有患者均接受后颅窝减压，其中第一颈椎椎板被切除，第二或第三颈椎椎板切除取决于小脑扁桃体疝的严重程度。在这些患者中，有76例接受了大骨窗减压和硬膜成形术，而109例接受了小骨窗减压，移位小脑扁桃体切除术和硬膜成形术。回顾性分析了不同手术方法的疗效。出院时，有156例患者（84.3％）的临床症状得到消除或改善。使用磁共振成像（MRI）对总共148例患者进行了评估，结果显示92例患者重建了大水罐，75例患者的脊柱syrinx减少。对147例患者（79.5％）进行了随访，时间为3个月至12年。在随访过程中，有110例患者（74.8％）的症状得到消除或改善，其中26例（17.7％）没有改善，11例（7.5％）恶化。随访期间对95例患者进行了MRI检查，其中87例患者重建了大水罐，79例患者减少了脊柱syrinx。小骨窗减压加硬膜成形术是治疗CMI并发脊髓空洞症和术中小脑的有效手术方法。扁桃体切除术显着帮助患者康复。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号