Chiari畸形并脊髓空洞症的显微外科治疗

Chiari abnormal and the spinal cord cavity sickness microsurgery treats

目的探讨 Chiari 畸形并脊髓空洞症显微外科治疗方法及效果.方法： 54例Chiari 畸形并脊髓空洞症患者均经MRI 确诊,采用寰枕减压并硬膜囊扩大重建术治疗.结果： 39 例患者术后临床症状有改善,15 例无变化.4 例出现颅内感染,治愈出院.42例患者术后MRI复查示下疝的小脑扁桃体回复,枕大池成形,脊髓空洞呈不同程度缩小.结论： 后颅窝减压术＋ 硬膜囊扩大重建术是 Chiari畸形并脊髓空洞症较为理想的一种术式.

Objective：Discusses Chiari abnormal and the spinal cord cavity sickness microsurgery method of treatment and the effect. Methods： 54 example Chiari abnormal and the spinal cord cavity sickness patient passes through the MRI diagnosis,uses the vast domain pillow reduced pressure and the hard membrane pouch expands the reconstruction technique treatment. Results： 39 example patient technique the clinical symptom has the improvement, 15 examples do not have the change. 4 examples appear in the skull to infect,cure out of hospital. After 42 example patient technique the MRI reexamination shows hernia the cerebellum tonsil reply,rests the head on the cisterna magna forming, the spinal cord assumes the varying degree reduction emptily. Conclusion： The skull nest reduced pressure technique ＋ hard membrane pouch expands the reconstruction technique is Chiari abnormal and the spinal cord cavity sickness more ideal one technique type.