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脊髓空洞症的手术治疗与预后

Operative treatment and prognosis of syringomyelia.

作者信息

Wiedemayer H, Nau H E, Rauhut F, Grote W, Gerhard L

机构信息

Neurosurgical Clinic, University of Essen, Fed. Rep. of Germany.

出版信息

Neurosurg Rev. 1994;17(1):37-41. doi: 10.1007/BF00309984.

DOI:10.1007/BF00309984
PMID:8078607
Abstract

Twenty-two patients suffering from syringomyelia were treated operatively. Different shunt procedures were performed. Most often syringo-subarachnoid shunt (seven cases) and syringopleural shunt (eight cases) were used. Operative findings and complications were discussed. Postoperative improvement was observed in five patients, twelve were stable-unchanged, four showed further deterioration and one died. Operative treatment should be performed before gross neurological deficit is established.

摘要

对22例患有脊髓空洞症的患者进行了手术治疗。实施了不同的分流手术。最常用的是脊髓空洞 - 蛛网膜下腔分流术(7例)和脊髓空洞 - 胸膜分流术(8例)。讨论了手术结果及并发症。5例患者术后病情改善,12例稳定不变,4例病情进一步恶化,1例死亡。手术治疗应在出现严重神经功能缺损之前进行。

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Operative treatment and prognosis of syringomyelia.脊髓空洞症的手术治疗与预后
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Identifying myelopathy caused by thoracic syringomyelia: a case report.识别由胸段脊髓空洞症引起的脊髓病:病例报告
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本文引用的文献

1
HYDRODYNAMIC MECHANISM OF SYRINGOMYELIA: ITS RELATIONSHIP TO MYELOCELE.脊髓空洞症的流体动力学机制:其与脊髓脊膜膨出的关系。
J Neurol Neurosurg Psychiatry. 1965 Jun;28(3):247-59. doi: 10.1136/jnnp.28.3.247.
2
Favorable results with syringosubarachnoid shunts for treatment of syringomyelia.脊髓空洞-蛛网膜下腔分流术治疗脊髓空洞症效果良好。
J Neurosurg. 1982 Apr;56(4):517-23. doi: 10.3171/jns.1982.56.4.0517.
3
Surgical treatment of syringomyelia. Favorable results with syringoperitoneal shunting.脊髓空洞症的外科治疗。脊髓空洞-腹腔分流术取得良好效果。
J Neurosurg. 1984 Sep;61(3):531-8. doi: 10.3171/jns.1984.61.3.0531.
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Syringomyelia: a clinical review of 75 cases.脊髓空洞症:75例临床回顾
Can Med Assoc J. 1965 Oct 2;93(14):731-4.
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Myelocystographic and fluorescein studies to demonstrate communication between intramedullary cysts and the cerebrospinal fluid space.脊髓造影和荧光素研究以证明髓内囊肿与脑脊液腔之间的连通性。
Acta Neurol Scand. 1969;45(4):418-30. doi: 10.1111/j.1600-0404.1969.tb01255.x.
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[A new surgical way of treatment of hydro- and syringomyelia. Embryological principles and first results].[一种治疗积水性脊髓空洞症的新手术方法。胚胎学原理及初步结果]
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[Current aspects of syringomyelia. Pathogenesis, diagnosis, therapy].[脊髓空洞症的当前研究进展。发病机制、诊断、治疗]
Nervenarzt. 1973 Jun;44(6):304-9.
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[Syringomyelia. Clinical follow-up studies in 323 patients].
Nervenarzt. 1973 Jan;44(1):1-13.
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Syringoperitoneal shunt for treatment of cord cavitation.用于治疗脊髓空洞症的脊髓腹膜分流术。
J Neurol Neurosurg Psychiatry. 1985 Jul;48(7):620-7. doi: 10.1136/jnnp.48.7.620.