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目的:探讨颈枕区畸形并脊髓空洞症的最佳诊断和治疗方法。方法:临床上行枕下减压术、空洞腔蛛网膜下腔分流术和闩部封闭术。结果:行手术治疗的16例患者中经2~3年随访,2例症状和体征明显改善,5例症状和体征无变化,3例症状加重,6例失访。结论:磁共振成像检查对颈枕区畸形并脊髓空洞症的诊断和治疗均是最佳的检查方法。显微外科技巧的运用是非常重要的。
Objective: To explore the best diagnosis and treatment of cervical occipital deformity and syringomyelia. Methods: Clinical suboccipital decompression, cavity-subarachnoid shunt and latch closure. Results: Sixteen patients underwent surgical treatment after 2 to 3 years of follow-up. The symptoms and signs of 2 patients were significantly improved. There were no symptoms and signs in 5 patients. The symptoms of 3 patients were aggravated and 6 patients were lost. Conclusion: Magnetic resonance imaging is the best method for the diagnosis and treatment of cervical occipital deformity and syringomyelia. The use of microsurgical skills is very important.