CAJ | 학술논문

目的探讨小脑扁桃体下疝合并脊髓空洞症的治疗.方法回顾性分析1995年8月至2010年8月经治的29例小脑扁桃体下疝合并脊髓空洞症患者,均采用手术干预治疗,单纯行枕大孔减压术16例,行枕大孔减压加空洞-蛛网膜下腔分流术13例.术后随访6个月～3年观察治疗效果.结果随访6个月～3年,单纯行后颅窝减压组中显效8例,有效6例,无效2例,恶化0例,总有效率为87.5％;后颅窝减压空洞-蛛网膜下腔分流组中显效6例,有效4例,无效2例,恶化1例,总有效率为76.9％,2组总有效率比较差异无统计学意义(P＞0.05).结论手术是小脑扁桃体下疝合并脊髓空洞症的首选治疗,因下疝和空洞致脊髓受损轻者减压术后恢复较好,而脊髓受损明显者则手术效果差.
목적 탐토소뇌편도체하산합병척수공동증적치료.방법 회고성분석1995년8월지2010년8월경치적29례소뇌편도체하산합병척수공동증환자,균채용수술간예치료,단순행침대공감압술16례,행침대공감압가공동-주망막하강분류술13례.술후수방6개월～3년관찰치료효과.결과 수방6개월～3년,단순행후로와감압조중현효8례,유효6례,무효2례,악화0례,총유효솔위87.5％;후로와감압공동-주망막하강분류조중현효6례,유효4례,무효2례,악화1례,총유효솔위76.9％,2조총유효솔비교차이무통계학의의(P＞0.05).결론 수술시소뇌편도체하산합병척수공동증적수선치료,인하산화공동치척수수손경자감압술후회복교호,이척수수손명현자칙수술효과차.
Objective To analyze the treatment of cerebellar tonsillar hernia associated with syringomyelia.Methods Twenty-nine patients with cerebellar tonsillar hernia associated with syringomyelia had been treated in our department,including 16 cases of foramen magnum decompression alone and 13 cases of foramen magnum compression technique with hollow-subarachnoid shunt.Results After the follow-up of 6 months to 3 years,in posterior fossa decompression group,8 cases were markedly effective,6 cases were effective,ineffective in 2 cases,deteriorating 0 case,total effective rate was 87.5％ ; among posterior fossa decompression cavity-subarachnoid shunt group 6 cases had marked effect,4 cases were effective,ineffective in 2 cases,deteriorated in 1 case,the total effective rate was 76.9％.Total effective rate had no statistical significant difference between the two groups (P ＞ 0.05).Conclusions Surgery is the preferred treatment of the cerebellar tonsillar hernia associated with syringomyelia patients because cerebellar tonsillar hernia and syringomyelia damage the spinal cord.