干旱区生态环境知识资源中心(Arid): 小脑扁桃体切除并脊髓中央管口松解术治疗合并脊髓空洞的Chiari畸形

Arid

	小脑扁桃体切除并脊髓中央管口松解术治疗合并脊髓空洞的Chiari畸形
其他题名	Chiari malformation with syringomyelia: surgical treatment with tonsillectomy plus central canal opening
	张玉琪 1; 王忠诚 1; 马振宇 1; 李志红 2
来源期刊	中华神经外科杂志
ISSN	1001-2346
出版年	2004
卷号	20 期号:3 页码:215-217
中文摘要	目的探索外科治疗合并脊髓空洞的Chiari畸形的新方法.方法采用切除下疝小脑扁桃体,并脊髓中央管口假膜切开术,原位硬膜缝合法.结果18例手术治疗,15岁以下儿童12例,术中发现均有脊髓中央管口(闩部)假膜;成人6例,3例有假膜形成.全部病例术后脊髓空洞消失或明显缩小.结论脊髓中央管口假膜是造成Chiari畸形脊髓空洞的原因之一,切除下疝小脑扁桃体并脊髓中央管口假膜切开术,是手术治疗合并脊髓空洞的Chiari畸形最根本的方法.
英文摘要	Objective A new sui’gieal treatment was used for Chiari malformation with syringomyelia. Methods After opening of the dura, the nerebellar tonsils were removed. We nan find a very thin membrane over the opening of the central canal (obex). This pseduomembrane should be cut. Results 18 patients with Chiari malformation with syringomyelia were operated on using this techniques. This kind of pseduomembrane was found in all 12 pediatric oases (below 15 years) and 3 out of 6 in adult patients. MRI confirmed that the syringomyelia disappeared or shrank within 1 months postoperatively in all eases. Conclusions The pseduomembrane at over the obex is one of the. reason of Chiari malformation with syringomyelia. The tonsiller.tomy, the cutting of the pseduomembrane and the dura closing are the, ideal treatment for Chiari malformation with syringomyelia.
中文关键词	Chiari畸形 ; 脊髓空洞 ; 假膜 ; 扁桃体切除
英文关键词	Chiari malformation Syringomyelia Pseudomembrane Tonsilleclomy
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1601808
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205838
作者单位	1.首都医科大学附属北京天坛医院神经外科, 100050; 2.河北职工医学院附属医院神经外科, 保定, 河北中国
推荐引用方式 GB/T 7714	张玉琪,王忠诚,马振宇,等. 小脑扁桃体切除并脊髓中央管口松解术治疗合并脊髓空洞的Chiari畸形[J],2004,20(3):215-217.
APA	张玉琪,王忠诚,马振宇,&李志红.(2004).小脑扁桃体切除并脊髓中央管口松解术治疗合并脊髓空洞的Chiari畸形.中华神经外科杂志,20(3),215-217.
MLA	张玉琪,et al."小脑扁桃体切除并脊髓中央管口松解术治疗合并脊髓空洞的Chiari畸形".中华神经外科杂志 20.3(2004):215-217.