[1]修波,李萃萃,林和璞,等.Chiari畸形113例手术治疗分析[J].中国临床神经外科杂志,2017,(07):460-462.[doi:10.13798/j.issn.1009-153X.2017.07.005]
　XIU Bo,LI Cui-cui,LIN He-pu,et al.Microsurgery for Chiari malformations (report of 113 cases)[J].,2017,(07):460-462.[doi:10.13798/j.issn.1009-153X.2017.07.005]
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Chiari畸形113例手术治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年07期
页码:
460-462
栏目:
论著
出版日期:
2017-07-20

文章信息/Info

Title:
Microsurgery for Chiari malformations (report of 113 cases)
文章编号:
1009-153X（2017）07-0460-03
作者:
修波; 李萃萃; 林和璞; 曾旭; 萧凯; 汤锋武
100700 北京，中国人民解放军陆军总医院神经外科（修　波、李萃萃、林和璞、曾　旭）；100040 北京，清华大学玉泉医院神经外科（萧　凯）；300162 天津，武警后勤学院附属医院神经外科（汤锋武）
Author(s):
XIU Bo1;  LI Cui-cui1;  LIN He-pu1;  ZENG Xu1;  XIAO Kai2;  TANG Feng-wu3.
1. Department of Neurosurgery, Army General Hospital, PLA, Beijing 100700, China;
2. Department of Neurosurgery, Tsinghua University Yuquan Hospital, Beijing 100040, Chian;
3. Department of Neurosurgery, Affiliated Hospital, Logistics University of People’s Armed Police Force, Tianjin 300162, China
关键词:
Chiari畸形; 脊髓空洞症; 手术; 并发症; 分型
Keywords:
Chiari malformation;  Syringomyelia;  Surgery;  Complication;  Classification
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.07.005
文献标志码:
A
摘要:
目的 总结Chiari畸形手术治疗的经验，以期提高疗效，减少并发症。方法 回顾性分析2005年5月至2016年8月手术治疗的113例Chiari畸形的临床资料。结果 术后随访6个月，死亡1例，其余病人症状均有改善，术后3个月内即改善，6个月时并无进一步改善。术后3~6个月复查MRI，93例脊髓空洞中，82例脊髓空洞减小或消失，11例脊髓空洞无变化；68例脑积水中，脑积水减轻49例，19例无改变。结论 了解Chiari畸形的手术相关问题、掌握相应对策，有助于确定手术适应证，减少并发症，提高疗效。
Abstract:
Objective To summarize the experiences in treating Chiari malformations by microsurgery in order to decrease the complication and improve the outcomes. Methods The clinical data of 113 patients with Chiari malformations, who underwent surgery from May, 2005 to August, 2016, were analyzed retrospectively. Results The patients were followed up for 6 months. One patient died after operation. The symptoms were improved in 112 patients after operation within 3 months, but there was no further improvement 6 months after operation. The MRI 3 to 6 months after surgery showed that the syringomyelia decreased or disappeared in 82 of 93 cases and did not change in 11 of 93 cases, and thehydrocephalus relieved in 49 of 68 cases and did not change in 19 of 68 cases. Conclusion The understanding of the problems related to the operations of Chiari malformations and mastering their countermeasures may be helpful to grasp of operative indication, decrease in the postoperative complication and improvement of curative outcomes.

参考文献/References:

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更新日期/Last Update: 2017-07-25