中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
3期
34-36
,共3页
微创改良术%传统手术%Chiari畸形合并脊髓空洞症%随访
微創改良術%傳統手術%Chiari畸形閤併脊髓空洞癥%隨訪
미창개량술%전통수술%Chiari기형합병척수공동증%수방
Modified minimally invasive surgery%Conventional surgery%Chiari malformation with syringomyelia%Follow-up
目的：探讨微创改良术治疗Chiari畸形合并脊髓空洞症的效果，并与传统手术对比，为Chiari畸形合并脊髓空洞症的最佳术式选择提供依据。方法：根据手术方案将本院2009年2月-2012年2月期间收治并确诊的65例Chiari畸形合并脊髓空洞症患者随机分为传统组（n=32，接受传统手术治疗）和改良组（n=33，接受微创改良手术治疗），于出院时分析两组的常见临床症状（神经功能、膀胱功能、感觉及运动障碍）的恢复时间，近期疗效，出院后1年随访其远期疗效，住院期间及远期并发症情况。结果：两组的常见临床症状恢复时间及住院期间近期疗效的差异均无统计学意义（P>0.05）。改良组出院后远期并发症总发生率低于传统组，比较差异有统计学意义（P<0.05），头痛、发热及脑脊液漏的发生率均较低。改良组疾病控制率为96.97%，远高于传统组的75.00%，比较差异有统计学意义（P<0.05）。改良组的术后的脊髓空洞长度小于传统组（P<0.05）。结论：两种手术的近期疗效相当，但微创改良术的远期疗效较优，并发症较少，可在Chiari畸形合并脊髓空洞症治疗中推广。
目的：探討微創改良術治療Chiari畸形閤併脊髓空洞癥的效果，併與傳統手術對比，為Chiari畸形閤併脊髓空洞癥的最佳術式選擇提供依據。方法：根據手術方案將本院2009年2月-2012年2月期間收治併確診的65例Chiari畸形閤併脊髓空洞癥患者隨機分為傳統組（n=32，接受傳統手術治療）和改良組（n=33，接受微創改良手術治療），于齣院時分析兩組的常見臨床癥狀（神經功能、膀胱功能、感覺及運動障礙）的恢複時間，近期療效，齣院後1年隨訪其遠期療效，住院期間及遠期併髮癥情況。結果：兩組的常見臨床癥狀恢複時間及住院期間近期療效的差異均無統計學意義（P>0.05）。改良組齣院後遠期併髮癥總髮生率低于傳統組，比較差異有統計學意義（P<0.05），頭痛、髮熱及腦脊液漏的髮生率均較低。改良組疾病控製率為96.97%，遠高于傳統組的75.00%，比較差異有統計學意義（P<0.05）。改良組的術後的脊髓空洞長度小于傳統組（P<0.05）。結論：兩種手術的近期療效相噹，但微創改良術的遠期療效較優，併髮癥較少，可在Chiari畸形閤併脊髓空洞癥治療中推廣。
목적：탐토미창개량술치료Chiari기형합병척수공동증적효과，병여전통수술대비，위Chiari기형합병척수공동증적최가술식선택제공의거。방법：근거수술방안장본원2009년2월-2012년2월기간수치병학진적65례Chiari기형합병척수공동증환자수궤분위전통조（n=32，접수전통수술치료）화개량조（n=33，접수미창개량수술치료），우출원시분석량조적상견림상증상（신경공능、방광공능、감각급운동장애）적회복시간，근기료효，출원후1년수방기원기료효，주원기간급원기병발증정황。결과：량조적상견림상증상회복시간급주원기간근기료효적차이균무통계학의의（P>0.05）。개량조출원후원기병발증총발생솔저우전통조，비교차이유통계학의의（P<0.05），두통、발열급뇌척액루적발생솔균교저。개량조질병공제솔위96.97%，원고우전통조적75.00%，비교차이유통계학의의（P<0.05）。개량조적술후적척수공동장도소우전통조（P<0.05）。결론：량충수술적근기료효상당，단미창개량술적원기료효교우，병발증교소，가재Chiari기형합병척수공동증치료중추엄。
Objective:To explore the effect of modified minimally invasive surgery and conventional surgery on Chiari malformation with syringomyelia.Method:According to the surgery program,65 patients with Chiari malformation with syringomyelia were assigned into the traditional group(n=32,receiving conventional surgery) and the modified group(n=33,receiving modified minimally invasive surgery). The recovery time of common clinical symptoms(neurological function,bladder function,sensory and motor disorders) at discharge,short-term effect,1-year follow-up after discharge and complications during hospitalization were compared between groups.Result:There were no significant differences on the recovery time of common clinical symptoms and short-term effect between both groups(P>0.05). However,the incidence of complications in the modified group was lower than the traditional group(P<0.05),especially the fever,headache and cerebrospinal fluid leakage. The disease control rate of the traditional group was 75.00%while the modified group was 96.97%after treatment,and the difference between the two groups was statistically significant(P<0.05). The length of syringomyelia in the modified group was superior to that of the traditional group(P<0.05).Conclusion:The short-term efficacies of both surgeries are equivalent,but the long-term efficacy of modified minimally invasive surgery is better than the traditional group with fewer complications.
