Lesoin F, Leys D, Petit H, Jomin M
Presse Med. 1985 Feb 23;14(8):485-6.
In the technique of syringoperitoneal shunting described, a small diameter silicone catheter with lateral openings is introduced through the spinal cord into the lower part of the syringomyelic cavity, then connected to a standard peritoneal shunt tube. Six patients were operated upon using this technique. No major post-operative complication was observed; one patient stabilized and 5 rapidly and distinctly improved. The best results were obtained in patients with sensory loss or arthropathy. It seems rational to apply this technique to active syringomyelia. Permanent shunting maintains low pressure in the cavity and attenuates the effects of sudden, physiological rises in CSF pressure, thus preventing progressive dissection of the nervous tissue.
在所描述的脊髓空洞-腹腔分流技术中，将一根带有侧孔的小直径硅胶导管经脊髓插入脊髓空洞腔下部，然后连接到标准的腹腔分流管。6例患者接受了该技术手术。未观察到重大术后并发症；1例患者病情稳定，5例迅速且明显改善。感觉丧失或关节病患者取得了最佳效果。将该技术应用于活动性脊髓空洞症似乎是合理的。永久性分流可维持空洞内低压，并减弱脑脊液压力突然生理性升高的影响，从而防止神经组织进行性分离。
