Therapeutic effect analysis of small bone flap craniotomy decompression of posterior cranial fossa and duraplasty for 45 patients with Chiari malformation type Ⅰ
10.3760/cma.j.issn.1673-4904.2014.23.010
- VernacularTitle:后颅窝小骨窗减压及硬脑膜成形术治疗Chiari畸形Ⅰ型45例疗效分析
- Author:
Guoyuan LING
;
Shi YU
;
Jinfeng HUANG
;
Wendou CHEN
- Publication Type:Journal Article
- Keywords:
Syringomyelia;
Arnold-Chiari malformation;
Small bone flap craniotomy decompression of posterior cranial fossa;
Duraplasty
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(23):28-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effect of small bone flap craniotomy decompression of posterior cranial fossa and duraplasty in the treatment of Chiari malformation type Ⅰ.Methods The clinical data of 45 Chiari malformation type Ⅰ patients who were treated with small bone flap craniotomy decompression of posterior cranial fossa and duraplasty were retrospectively analyzed,31 cases among them with syringomyelia.Results According to Tator etc.standard,1 month after surgery,the excellent in 30 cases,good in 15 cases.Follow up from 6 months to 6 years,the excellent in 37 cases,good in 8 cases.Among 31 patients with syringomyelia,26 cases were syringomyelia subsided,5 cases were not obvious change.Conclusion The small bone flap craniotomy decompression of posterior cranial fossa and duraplasty can make the craniocervical decompression,and has obvious effect of treating syringomyelia,is safe and effective in treatment of Chiari malformation type Ⅰ.
