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目的 探讨脊髓空洞 (积水 )症的手术治疗方法。方法 以颅后窝减压、脊髓穿刺 ,松解四脑室正中孔蛛网膜粘连治疗脊髓空洞症 1 9例。结果 术后 1 2例随访 5个月至 3年 ,临床症状完全消失 1 0例 ,好转 2例 ;复查MR中央管口径明显恢复 9例 ,2例恢复 70 % ,1例恢复 50 %。结论 后颅窝减压、脊髓空洞穿刺术治疗脊髓空洞症 ,手术效果满意。
Objective To investigate the surgical treatment of syringomyelia (hydrocephalus). Methods One hundred and nineteen cases of syringomyelia were treated with decompression of the posterior fossa, spinal cord aspiration, and loosening the antral arachnoid adhesions of the fourth ventricle. Results After the operation, 12 cases were followed up for 5 months to 3 years. The clinical symptoms disappeared completely in 10 cases and improved in 2 cases. The caliber of central canal of CRT was significantly recovered in 9 cases, 2 cases recovered 70% and 1 case recovered 50%. Conclusions Posterior cranial fossa decompression and syringomyelia are effective in treating syringomyelia.