CAJ | 학술논문

目的探讨采用后颅窝小骨窗减压及硬脑膜成形术治疗Chiari畸形Ⅰ型的疗效.方法回顾性分析45例Chiari畸形Ⅰ型患者行后颅窝小骨窗减压及硬脑膜成形术临床资料,其中合并脊髓空洞症31例.结果按Tator等标准,术后1个月优30例,良15例.随访6个月至6年,其中优37例,良8例.31例合并脊髓空洞症患者中有26例脊髓空洞消退,5例脊髓空洞无明显变化.结论后颅窝小骨窗减压及硬脑膜成形术可使颅颈交界区充分减压,并对脊髓空洞症有明显的治疗作用,是治疗Chiari畸形Ⅰ型安全有效的治疗方法.
목적 탐토채용후로와소골창감압급경뇌막성형술치료Chiari기형Ⅰ형적료효.방법 회고성분석45례Chiari기형Ⅰ형환자행후로와소골창감압급경뇌막성형술림상자료,기중합병척수공동증31례.결과 안Tator등표준,술후1개월우30례,량15례.수방6개월지6년,기중우37례,량8례.31례합병척수공동증환자중유26례척수공동소퇴,5례척수공동무명현변화.결론 후로와소골창감압급경뇌막성형술가사로경교계구충분감압,병대척수공동증유명현적치료작용,시치료Chiari기형Ⅰ형안전유효적치료방법.
Objective To evaluate the therapeutic effect of small bone flap craniotomy decompression of posterior cranial fossa and duraplasty in the treatment of Chiari malformation type Ⅰ.Methods The clinical data of 45 Chiari malformation type Ⅰ patients who were treated with small bone flap craniotomy decompression of posterior cranial fossa and duraplasty were retrospectively analyzed,31 cases among them with syringomyelia.Results According to Tator etc.standard,1 month after surgery,the excellent in 30 cases,good in 15 cases.Follow up from 6 months to 6 years,the excellent in 37 cases,good in 8 cases.Among 31 patients with syringomyelia,26 cases were syringomyelia subsided,5 cases were not obvious change.Conclusion The small bone flap craniotomy decompression of posterior cranial fossa and duraplasty can make the craniocervical decompression,and has obvious effect of treating syringomyelia,is safe and effective in treatment of Chiari malformation type Ⅰ.