| 高伟达1 叶伟1 张金伟1 刘波2 袁清华1.枕大孔区减压环枕筋膜松解术治疗CMⅠ-SM 的疗效分析[J].,2011,11(19):3658-3661 |
| 枕大孔区减压环枕筋膜松解术治疗CMⅠ-SM 的疗效分析 |
| Foramen Magnum Decompression Ring Pillow Fascia Lysis for ChiariMalformation Type Ⅰ Combined with Syringomyelia |
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| DOI： |
| 中文关键词: Arnold-Chiari 畸形 脊髓空洞症 减压 |
| 英文关键词: Arnold-Chiari malformation Syringomyelia Decompression |
| 基金项目: |
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| 中文摘要: |
| 目的：回顾分析枕大孔区减压环枕筋膜松解术治疗Chiari 畸形Ⅰ型合并脊髓空洞症（CMⅠ-SM）的疗效及其适应症。方法：
随访71 例行枕大孔区减压环枕筋膜松解术治疗的CMⅠ-SM 患者，回顾手术疗效，利用多因素Logistic 回归分析探讨病程时间
（A）、是否伴有后颅窝畸形（B）、是否有增厚的环枕筋膜（C）及减压后脑脊液搏动情况（D）与疗效的关系，继而推断枕大孔区减压
环枕筋膜松解术的适应症。结果：本组患者症状改善49 例，占73.1%；稳定15 例，占22.4 %；恶化3 例，占4.5%。A、B 与疗效不具
有统计学意义；C、D 与疗效具有统计学意义。结论：枕大孔区减压环枕筋膜松解术是治疗CMⅠ-SM 较为合理的术式；术中观察有
增厚的环枕筋膜和（或）减压后脑脊液搏动改善良好可作为选择该术式的适应症。 |
| 英文摘要: |
| Objective: To evaluate the appropriate surgical procedure for Chiari I malformationcomplicated by syringomyelia (CM
Ⅰ-SM ). Methods: A total of 71 patients after foramen magnum decompression (FMD) combined with removal of dural band were retrospectively
the efficacy of surgical procedure. Use the multiple factor Logistic regression analysis to evaluate the relationship between the
efficacy of surgical procedure and the course of disease, accompany posterior cranial fossa malformation or not, accompany the incrassated
dural band or not and the pulsation of cerebrospinal fluid after FMD. Results: 49 patients were improved after operation by follow-up, 15
patients were stabilized, and 3 patients were aggravated, with the rate of 73.1%, 22.4% and 4.5% respectively. Conclusion: FMD combined
with removal of dural band is a reasonable option for the treatment of CMⅠ-SM. For the choice of the different operation, it is necessary
to make a detailed assessment of its accompany the incrassated dural band or not and the pulsation of cerebrospinal fluid after foramen
magnum decompression. |
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