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脊髓空洞-腹腔分流术治疗脊髓空洞症

Treatment of syringomyelia by syringo-peritoneal shunt.

作者信息

Philippon J, Sangla S, Lara-Morales J, Gazengel J, Rivierez M, Horn Y E

机构信息

Service de Neurochirurgie, Hôpital de la Salpétrière, Université de Paris, France.

出版信息

Acta Neurochir Suppl (Wien). 1988;43:32-4. doi: 10.1007/978-3-7091-8978-8_8.

DOI:10.1007/978-3-7091-8978-8_8
PMID:3213655
Abstract

Syringomyelic cavitation of various origins (excluding tumour) has been treated by syringo-peritoneal shunting (SPS) in 10 patients. The main clinical and radiological symptoms are reviewed and postoperative results evaluated; among the symptoms, pain is the most likely to improve after surgery. But the global outcome in the majority of cases remains unchanged, some patients showing neurological deterioration. Although MRI is of fundamental importance in diagnosis, the significance of the postoperative appearances on MRI has still to be elucidated. Other studies are certainly necessary to define the exact place of SPS in the treatment of syringomyelia.

摘要

对10例各种原因(不包括肿瘤)引起的脊髓空洞症患者进行了脊髓-腹腔分流术(SPS)治疗。回顾了主要的临床和放射学症状,并评估了术后结果;在这些症状中,疼痛最有可能在术后得到改善。但大多数病例的整体结果仍未改变,一些患者出现神经功能恶化。虽然MRI在诊断中至关重要,但术后MRI表现的意义仍有待阐明。当然还需要其他研究来确定SPS在脊髓空洞症治疗中的确切地位。

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