ArnoldChiari畸形治疗的不同术式疗效比较.doc

ArnoldChiari畸形治疗的不同术式疗效比较
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【摘要】目的探讨ArnoldChiari畸形不同手术方式的疗效差别。方法对102例 MRI 证实的 ArnoldChiari畸形病例的手术治疗情况进行回顾性分析。患者分别行单纯后颅窝骨性减压,后颅窝骨性减压及枕大池重建,后颅窝骨性减压及枕大池重建并小脑扁桃体软膜内切除。结果患者症状消失和改善共89例,% ;%、%、%,其中单纯后颅窝骨性减压术的有效率显著高于其他两种术式(均P<)。结论后颅窝骨性减压是治疗ArnoldChiari畸形合并脊髓空洞症简单且有效的术式。
【关键词】 ArnoldChiari畸形后颅窝骨性减压术
【Abstract】 Objective To investigate the surgical treatment and curative effect of ArnoldChiari malformation. Method The surgical treatment of 102 patients with ArnoldChiari malformation diagnosed by ic resonance imaging(MRI) was analysed retrospectively. They were performed differently by posterior cranial fossa pression,or posterior cranial fossa d
ecompression with reconstruction of cistemals, or posterior cranial fossa pression with reconstruction of cistemals and cerebellar tonsillectomy. Results The clinical signs and symptoms were relieved and improved in 89 the total efficient rate after operation was %; the efficient rate after three operation were %, % and %, respectively, in which treatment with posterior cranial fossa pression showed more improvement than the other two approaches(P<).Conclusion Posterior cranial fossa pression is a simple and effective method for treatment of ArnoldChiari malformation.
【Key words】 ArnoldChiari malformation;Posterior cran