胸池分流术治疗难治性脊髓空洞症：我的经验。
Syringopleural shunt for refractory syringomyelia: how I do it.
机构信息
Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, Italy.
Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Paradisa 2, 56100, Pisa, Italy.
出版信息
Acta Neurochir (Wien). 2023 Oct;165(10):3039-3043. doi: 10.1007/s00701-023-05654-y. Epub 2023 Jun 19.
BACKGROUND
Surgical treatment of syringomyelia is directed at the reconstruction of the subarachnoid space and restoration normal cerebrospinal fluid flow. Direct intervention on the syrinx is a rescue procedure and should be offered to patients with refractory syringomyelia.
METHODS
We provide an overview on indications and technique of syringopleural shunt (SPS). The procedure involves the connection of syrinx with the pleural space using a lumboperitoneal shunt. The occurrence of a negative pressure inside the pleural compartment offers an appropriate gradient for drainage from the syrinx.
CONCLUSIONS
The SPS allows for a safe and effective treatment of persistent syringomyelia when management of the underlying cause does not yield substantial improvement.
背景
脊髓空洞症的手术治疗旨在重建蛛网膜下腔并恢复正常的脑脊液流动。对空洞的直接干预是一种抢救措施，应提供给难治性脊髓空洞症患者。
方法
我们提供了脊髓-胸腔分流术（SPS）的适应证和技术概述。该手术通过腰腹腔分流将空洞与胸腔连接起来。胸腔内产生负压为空洞引流提供了适当的梯度。
结论
当根本原因的治疗不能显著改善时，SPS 可安全有效地治疗持续性脊髓空洞症。
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