脊髓空洞症的诊断与显微手术治疗

THE DIAGNOSIS AND MICROSURGICAL TREATMENT OF SYRINGOMYELIA

探讨显微外科技术对脊髓空洞症的治疗效果。 12 7例脊髓空洞症经CT或MRI扫描检查确诊后应用显微外科技术 ,采取枕 颈减压、空洞切开术或空洞 蛛网膜下腔分流术治疗 ,并进行平均 1 5年以上的随访以评判治疗效果。结果表明 ,84例经空洞 蛛网膜下腔分流术或空洞切开术的治疗 ,空洞腔均闭合 ;4 3例行枕 颈减压的Arnold Chiari畸形或脊髓闭合不全者 ,空洞腔亦见明显缩小 ,但未全闭合。提示对脊髓空洞症宜采取显微外科手术治疗 ,可根据病情特点选择枕 颈减压、空洞切开术或空洞 蛛网膜下腔分流的外科术式。

To probe the treatment effects of the syringomyelia using microsurgical technique, a total of 127 patients with syringomyelia confirmed by CT or MRI in our department were analyzed retrospectively. The patients underwent occipitocervical decompression, syringostomy or syringo subarachnoid shunting (S S shunting) with microsurgery. All patients were followed up for more than 1 5 years and the treatment results were evaluated The results indicated that the collapse of the syrinx was achieved in 84 patients who underwent S S shunting or syringostomy. Decreased size of the syrinx was also noted in 43 Arnold Chiari malformation and spinal dysraphism patients who underwent occipitocervical decompression alone. The authors consider that the patients with syringomyelia should be microsurgically treated. The occipitocervical decompression, syringostomy or S S shunting may be an alternative method of surgical treatment for syringomyelia.