CAJ | 학술논문

目的：比较不同术式治疗复杂颅底畸形合并小脑扁桃体疝的疗效。方法选取我院20例复杂颅底畸形合并小脑扁桃体疝患者为研究对象，随机均分为A组（后颅窝减压术组）和B组（前后路联合手术组）。结果 A组4例疗效较好，评分为12-15分，5例疗效较差，评分为9-11分，1例昏迷，评分为8分以下。B组7例疗效较好，评分为12-15分，3例疗效较差，评分为9-11分。随访9个月至5年，A组2例症状明显改善，6例症状部分改善，2例患者症状无明显变化，有效率为80.0%；B组4例症状明显改善，5例症状部分改善，1例患者症状无明显变化，有效率为90.0%。B组治疗效果明显优于A组，差异有统计学意义(P＜0.05)。结论对复杂颅底畸形合并小脑扁桃体疝的患者行前后路联合手术安全可靠、效果好，优于传统的后颅窝减压术。
목적：비교불동술식치료복잡로저기형합병소뇌편도체산적료효。방법선취아원20례복잡로저기형합병소뇌편도체산환자위연구대상，수궤균분위A조（후로와감압술조）화B조（전후로연합수술조）。결과 A조4례료효교호，평분위12-15분，5례료효교차，평분위9-11분，1례혼미，평분위8분이하。B조7례료효교호，평분위12-15분，3례료효교차，평분위9-11분。수방9개월지5년，A조2례증상명현개선，6례증상부분개선，2례환자증상무명현변화，유효솔위80.0%；B조4례증상명현개선，5례증상부분개선，1례환자증상무명현변화，유효솔위90.0%。B조치료효과명현우우A조，차이유통계학의의(P＜0.05)。결론대복잡로저기형합병소뇌편도체산적환자행전후로연합수술안전가고、효과호，우우전통적후로와감압술。
Objective To compare the clinical efficacy of different surgical treatment of complex skull base malformation ton-sillar herniation. Methods 20 cases of complex skull malformation with tonsillar herniation were randomly divided into group A (Posterior fossa decompression surgery group) and grouP B (combined anterior group). Results Group A has four cases scoring 12-15 points,five cases scoring 9-11 Points,one case scoring of 8 points or less. Group B,seven cases scoring 12-15 points,three cases scoring 9-11 points. Followed for 9 months to 5years,the effective rate of group A was 80.0%,the effective rate of group B was 90.0%. Group B is better than Group A,the difference was statistically significant (P<0.05). Conclusion The comPlex skull malformation tonsillar herniation underwent combined anterior safe,reliable,effective and suPerior to the traditional Posterior fossa decomPression.