后颅窝减压并小脑扁桃体悬吊手术治疗Chiari畸形I型
曾义军;余水;周章明
【期刊名称】《心理医生》 【年(卷),期】2016(022)006
【摘要】目的:探讨后颅窝减压并小脑扁桃体悬吊治疗Chiari畸形I型的手术疗效。方法:对我院2010年6月至2014年7月收治的38例Chiari畸形患者的临床资料进行回顾性分析,按照Tator标准评价手术效果。结果:38例病例均进行颅窝减压并小脑扁桃体悬吊手术,其中5例合并脊髓空洞病例减压至C1水平,1例合并脊髓空洞患者行蛛网膜下腔分流手术,均达到很好的手术效果。结论:头晕、枕颈部疼痛及肢体感觉障碍是Chiari畸形的常见症状,对Chiari畸形I型进行后颅窝减压并小脑扁桃体悬吊手术方法有效,并且可以达到满意的预后。%Objective To explore the therapeutic of Posterior fossa decompression and cerebellar tonsil suspension in the treatment of Chiari malformation type I.Methods A retrospective analysis was conducted
among
38
patients
undergoing
Posterior
fossa
decompression and cerebellar tonsil suspension from June 2010 to July 2014. The outcomes of the surgeries were evaluated using Tator criterion.Results The operation of c Posterior fossa decompression and cerebellar tonsil suspension was performed in all the 38 case.The syringomyelia were opened in the level of CI in 5 cases.Syringomyelia-subarachnoid
shunt
performed
in
one
case
three
months in
all
postoperatively.
Favorable outcomes were gained