CAJ | 학술논문

目的探讨采用有限小骨窗后颅凹减压显微术式治疗Chiari I型畸形的疗效. 方法成都军区总医院神经外科自2004年至2008年采用有限小骨窗后颅凹减压显微术式治疗Chiari Ⅰ型畸形患者29例.标准手术程序包括有限小骨窗枕颈减压,硬膜扩大成形、硬膜下探查术、硬膜扩大修补等.按照Tator标准评价患者手术治疗的预后情况. 结果本组患者手术效果评价优23例(79.3%),良6例(20.7%).远期随访患者15例,患者脊髓空洞进一步缩窄9例,复发1例.结论有限小骨窗后颅凹减压显微术治疗Chiari Ⅰ型畸形创伤小,疗效显著.
목적 탐토채용유한소골창후로요감압현미술식치료Chiari I형기형적료효. 방법 성도군구총의원신경외과자2004년지2008년채용유한소골창후로요감압현미술식치료Chiari Ⅰ형기형환자29례.표준수술정서포괄유한소골창침경감압,경막확대성형、경막하탐사술、경막확대수보등.안조Tator표준평개환자수술치료적예후정황. 결과 본조환자수술효과평개우23례(79.3%),량6례(20.7%).원기수방환자15례,환자척수공동진일보축착9례,복발1례.결론유한소골창후로요감압현미술치료Chiari Ⅰ형기형창상소,료효현저.
Objective To explore the effect of limited posterior fossa decompression(LPFD)in the treatment of Amold-chiari I malformation.Methods A retrospective analysis was conducted among 29 patients undergoing LPFD from 2004 to 2008.The standard surgical procedures included small osseous decompression of the occipital bone above the forarnen magnum,removal of the posterior arch of the atlas,separation of the arachnoid adhesions,and reduction of the inferior cerebellar tonsils,a dural graft for duraplasty.The outcomes of the surgeries were evaluated using the Tator criteria.Results Excellent results were obtained in 23(79.3%)patients according to the Tator scores,and good results were achieved in 6(20.7%)patients.During the follow-up of 15 patients,the syrmgomyelia was found to be further reduced in 9 patients,and 1 patient experienced recurrence.Conclusion Limited posterior fossa decompression is effective for management of Amold-chiari I malformation with minimal invasiveness and complications.