摘要目的 研究探讨枕大池重建术治疗Chiari畸形合并脊髓空洞症的手术治疗方法 .方法 Chiari畸形合并脊髓空洞患者经MRI确诊后,应用枕大池重建术显微外科技术治疗,并随访2年以上.结果 21例患者术后症状均有不同程度改善,复查头颅MRI见脊髓空洞缩小.结论 该手术可使颅颈交界区充分减压,改善脑脊液循环,有效缓解临床症状,并对脊髓空洞症有明显的治疗作用.

abstractsObjective To investigate the efficacy of reconstruction of the cisterna magna in the surgical treatment of Chiari malformation associated with syringomyelia. Methods The patients with Chiari malformation associated with syringomyelia were performed the surgery of reconstruction of cisterna magna after they were diagnosed by MRI.All patients were followed up post-operatively for more than two years.Results All of 21 patients have got improvement in different degree after surgery, and post-operative MRI showed that cavity in the spinal cord was decreased.Conclusion This surgical approach can be achieved todecompress craniocervical junction, improve the CSF circulation, alleviate the clinical symptom efficiently, and be considered an effective treatment for syringomyelia.