儿童和青年成人Chiari畸形的骨减压而非硬脑膜切开术治疗
Treatment of the Chiari malformation with bone decompression without durotomy in children and young adults.
作者信息
James Hector E, Brant Adam
机构信息
Department of Pediatrics, Children's Hospital and University of California, San Diego, USA.
出版信息
Childs Nerv Syst. 2002 May;18(5):202-6. doi: 10.1007/s00381-002-0574-3. Epub 2002 Apr 12.
OBJECTIVE
The purpose of this study was to provide more information on alternative operative approaches to the treatment of symptomatic Chiari type I and/or type II malformations in children and young adults.
METHODS
All patients were treated with craniocervical decompression without durotomy or duroplasty. The cervical decompression was carried on to the lowest level of tonsillar herniation.
CONCLUSIONS
In 22 patients with symptomatic Chiari type I (4) and/or Chiari type II (18) malformation, there was total improvement in 12, partial improvement in 7, and no change in 3. There was no operative morbidity or mortality. Craniocervical decompression without durotomy may be a suitable treatment modality for symptomatic Chiari malformation in children and young adults.
目的
本研究的目的是提供更多关于治疗儿童和青年有症状的Chiari I型和/或II型畸形的替代手术方法的信息。
方法
所有患者均接受颅颈减压术，不进行硬脑膜切开或硬脑膜成形术。颈椎减压至扁桃体疝的最低水平。
结论
22例有症状的Chiari I型（4例）和/或Chiari II型（18例）畸形患者中，12例完全改善，7例部分改善，3例无变化。无手术并发症或死亡。不进行硬脑膜切开的颅颈减压术可能是治疗儿童和青年有症状的Chiari畸形的合适治疗方式。
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