小脑扁桃体下疝畸形的手术治疗

Surgical treatment of Arnold-Chiari malformation

目的探讨小脑扁桃体下疝畸形手术治疗方法并分析术后并发症的可能原因。方法回顾分析32例小脑扁桃体下疝畸形患者资料,均行后颅窝减压,切除部分小脑扁桃体、人工补片扩大修补硬膜。结果术后症状与体征均有不同程度好转,部分患者出现短时间发热。结论规范的后颅窝减压术可以明显改善小脑扁桃体下疝患者的临床症状及预防并发症的出现。

Objective To explore the surgical methods of Arnold-Chiari malformation and the prevention of postoperative complication. Methods The clinical data of 32 patients with Arnold- Chiari malformation were analyzed retrospectively. All patients were performed by the posterior cranial fossa decompression, the part cerebellar tonil was resected and the dura was repaired and enlarged by artificial patching. Results The preoperative symptoms and signs had been improved with different degree, the partial had a temporary fever. Conclusion The standard posterior cranial fossa decompression procedure may distinctly improve the clinical symptoms of Arnold-Chiari malformation and prevent the complication.