小切口小骨窗显微术式治疗Chiari畸形合并脊髓空洞症268例临床分析_West China Medical Journal

Authors：

 马骏鹏 , 陈海锋 , 刘家刚 , 黄思庆

四川大学华西医院神经外科（成都 610041）;

Corresponding author：

Keywords：

Chiari畸形; 脊髓空洞症; 小骨窗; 小切口

DOI：

10.7507/1002-0179.201600508

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目的探讨一种新型的改良小切口小骨窗显微术式治疗Chiari畸形合并脊髓空洞症的疗效。方法总结2010年1月－2012年9月采用的改良后4 cm小切口、3 cm×2 cm小骨窗减压、小脑扁桃体切除、枕大池扩大重建术治疗的共计268例Chiari畸形合并脊髓空洞症患者的治疗及预后情况，并进行回顾性分析。结果 268例患者中早期症状明显改善221例（82.5%），远期随访245例症状明显改善212例（86.5%）、稳定25例（10.2%）、加重8例（3.3%）。结论小切口小骨窗显微术式在治疗Chiari畸形合并脊髓空洞症中有着显著的疗效。

Citation： 马骏鹏, 陈海锋, 刘家刚, 黄思庆. 小切口小骨窗显微术式治疗Chiari畸形合并脊髓空洞症268例临床分析. West China Medical Journal, 2016, 31(11): 1854-1856. doi: 10.7507/1002-0179.201600508 Copy

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2.	Yarbrough CK, Greenberg JK, Park TS. Clinical outcome measures in chiari I malformation[J].Neurosurg Clin N Am, 2015, 26(4):533-541.
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6.	黄思庆, 肖启华, 李国平, 等. Arnold-Chiari畸形合并脊髓空洞症的显微外科治疗310例临床分析[J].中华神经外科杂志, 2005, 21(2):100-103.
7.	刘雪松, 鞠延, 徐建国, 等. 改良小切口显微术式治疗Chiari's畸形合并脊髓空洞症[J].四川医学, 2008, 29(1):54-55.
8.	Cheng JS, Nash J, Meyer GA. Chiari type I malformation revisited:diagnosis and treat ment[J].Neurologist, 2002, 8(6):357-362.
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1. Ma J, You C, Chen H, et al. Cerebellar tonsillectomy with suboccipital decompression and duraplasty by small incision for Chiari I malformation (with syringomyelia):long term follow-up of 76 surgically treated cases[J].Turk Neurosurg, 2012, 22(3):274-279.
2. Yarbrough CK, Greenberg JK, Park TS. Clinical outcome measures in chiari I malformation[J].Neurosurg Clin N Am, 2015, 26(4):533-541.
3. Gardner WJ. Hydrodynamic mechanism of syringomylia:its relationship to myelocoele[J].J Neurol Neurosurg Psychiatry, 1965, 28:247-259.
4. Ball MJ, Dayan AD. Pathogenesis of syringomyelia[J].Lancet, 1972, 2(7781):799-801.
5. Williams B. The distending force in the production of communicating syringomylia[J].Lancet, 1970, 2(7662):41-42.
6. 黄思庆, 肖启华, 李国平, 等. Arnold-Chiari畸形合并脊髓空洞症的显微外科治疗310例临床分析[J].中华神经外科杂志, 2005, 21(2):100-103.
7. 刘雪松, 鞠延, 徐建国, 等. 改良小切口显微术式治疗Chiari's畸形合并脊髓空洞症[J].四川医学, 2008, 29(1):54-55.
8. Cheng JS, Nash J, Meyer GA. Chiari type I malformation revisited:diagnosis and treat ment[J].Neurologist, 2002, 8(6):357-362.
9. Nash J, Cheng JS, Meyer GA, et al. Chiari type I malformation:overview of diagnosis and treatment[J].WMJ, 2002, 101(8):35-40.
10. Oldfield EH. Cerebellar tonsils and syringomyelia[J].J Neurosurg, 2002, 97(5):1009-1010.
11. Depreitere B, Van Calenbergh F, van Loon J, et al. Posterior fossa decompression in syringomyelia associated with a Chiari malformation:a retrospective analysis of 22 patients[J].Clin Neurol Neurosurg, 2000, 102(2):91-96.

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West China Medical Journal

小切口小骨窗显微术式治疗Chiari畸形合并脊髓空洞症268例临床分析

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