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脑室-蛛网膜下腔分流术：我的操作方法。

Syringo-subarachnoid shunt: how I do it.

机构信息

Departments of Neurosurgery and Pediatric Neurosurgery, Tel Aviv Medical Center and Dana Children's Hospital Tel Aviv, Tel Aviv University, Tel Aviv, Israel.

Department of Neurosurgery, Division of Pediatric Neurosurgery, University Hospital and Children's Hospital of Basel, Spitalstrasse 21, 4051, Basel, Switzerland.

出版信息

Acta Neurochir (Wien). 2019 Feb;161(2):367-370. doi: 10.1007/s00701-019-03810-x. Epub 2019 Jan 22.

DOI:10.1007/s00701-019-03810-x
PMID:30666455
Abstract

BACKGROUND

Syringo-subarachnoid shunt (SSS) is a valid method for the treatment of syringomyelia persisting after foramen magnum decompression (FMD) for Chiari I malformation.

METHOD

We give a brief overview on indication and outcome of SSS, followed by a detailed description of the surgical anatomy, and of the microsurgical technique. In particular, we highlight some key points for complication avoidance.

CONCLUSION

SSS is a valid option to treat syringomyelia, since in experienced hands, the outcome is good in most patients, including those with holocord syringomyelia. Careful understanding of anatomy and spinal cord physiology is required to minimize complications.

摘要

背景

脊髓空洞-蛛网膜下腔分流术（SSS）是治疗 Chiari I 畸形行枕骨大孔减压（FMD）后仍持续存在的脊髓空洞症的有效方法。

方法

我们简要概述了 SSS 的适应证和结果，随后详细描述了手术解剖结构和显微手术技术。特别强调了一些避免并发症的要点。

结论

SSS 是治疗脊髓空洞症的有效方法，因为在有经验的手中，大多数患者（包括全脊髓空洞症患者）的预后良好。需要仔细了解解剖结构和脊髓生理学，以将并发症降至最低。

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