后颅窝减压并小脑扁桃体悬吊手术治疗Chiari畸形I型.docVIP

精品论文 参考文献 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（通讯作者） 　　(四川省都江堰市医疗中心 四川都江堰 611800) 　　【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。 　　【关键词】Chiari畸形I型；后颅窝减压；小脑扁桃体悬吊 　　【中图分类号】R472 【文献标识码】A 【文章编号】1007-8231（2016）06-0074-02 　　Posterior fossa decompression and cerebellar tonsil suspension of the cistern magna for treatment of Chiari malformation type I 　　 Zeng Yijun, Yu shui , Zhou Zhangming. 　　Department of Neurosurgery, DuJiangYan medical center Sichuan Province,611830, China 　　【Abstract】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 postoperatively. Favorable outcomes were gained in all cases.Conclusions Dizziness,aches of occipital and cervical area,and sensory disturbance of limbs are the most common symptoms. Posterior fossa decompression and cerebellar tonsil suspension is an effective method to gain satisfied prognosis. 　　【Key words】Chari malformation type I;Posterior fossa decompression;Cerebellar tonsil suspension 　　Chiari畸形I型是最常见的环枕畸形，其诊断并不困难，但对于发病原因、患者手术方式的选择及枕下减压的程度方面尚存在许多争议。我们于2010年6月～2014年7月期间共收治Chiari畸形I型患者38例，采取后颅窝减压并小脑扁桃体悬吊手术取得了良好的临床效果。现报告如下。 　　1.资料与方法 　　1.1 一般资料 　　本组38例，男20例，女18例，年龄16～54岁，平均33.6岁；病程1月～12年。较明显的短颈、后发际低者