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创伤后脊髓空洞症:手术结果

Post-traumatic syringomyelia: the results of surgery.

作者信息

Vernon J D, Silver J R, Symon L

出版信息

Paraplegia. 1983 Feb;21(1):37-46. doi: 10.1038/sc.1983.6.

DOI:10.1038/sc.1983.6
PMID:6572890
Abstract

Between 1973 and 1982 twenty-seven patients with post-traumatic syringomyelia had operations performed to drain the cyst. Three types of operation were performed, cord transection, tube syringostomy to the sub-arachnoid space and tube syringostomy to the peritoneal cavity. Five patients developed proven blockage of their catheters. The results are presented. Pain was dramatically and gratifyingly improved in 14 patients. Motor power showed the most consistent improvement in 14 patients. Only eight patients showed the most consistent improvement in 14 patients. Only eight patients showed sensory improvement; this was the least likely to improve. The progress of the condition could be arrested in the majority of cases, but a small number continued to deteriorate and required further operations.

摘要

1973年至1982年间,27例创伤后脊髓空洞症患者接受了囊肿引流手术。手术方式有三种:脊髓横断术、向蛛网膜下腔置入导管的脊髓空洞造口术以及向腹腔置入导管的脊髓空洞造口术。5例患者出现导管堵塞。现将结果呈现如下。14例患者的疼痛得到显著且令人满意的改善。14例患者的运动能力改善最为稳定。仅有8例患者感觉功能改善;感觉功能是最不容易改善的。多数情况下病情进展可得到控制,但仍有少数患者病情继续恶化,需要进一步手术治疗。

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Neurosurgical untethering with or without syrinx drainage results in high patient satisfaction and favorable clinical outcome in post-traumatic myelopathy patients.伴有或不伴有脊髓空洞引流的神经外科松解术,在创伤后脊髓病患者中可带来较高的患者满意度和良好的临床结果。
Spinal Cord. 2018 Sep;56(9):873-882. doi: 10.1038/s41393-018-0094-y. Epub 2018 Mar 27.
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