颅颈病变经口显微外科手术  

TRANSORAL MICROSURGERY FOR CRANIONERVICAL LESIONS

作　　者：张汉伟[1] 王树荚[1] 苏池新[1] 

机构地区：[1]山西省人民医院神经外科

出　　处：《中华显微外科杂志》1996年第1期25-26,共2页Chinese Journal of Microsurgery

摘　　要：目的：回顾性分析经口显微外科治疗颅颈病变的疗效。方法：应用显微外科治疗颅颈区病变１０例，其中９例为颅底陷入症，１例为齿状突骨折，全部采用经口咽显微镜下进行手术。结果：５例术后肢体恢复正常功能，３例病情明显改善，１例有改善，１例手术后一周死于肺部感染。结论：精细的显微外科手术是可以避免伤口感染和脑脊液渗漏。Objective:To retrospect the result of transoral microsurgery for craniocervical lesions. Method:Ten patients with lesions located at the ventral part of craniocervical junction compres- sion treated with transoral microsurgery. There were nine basilar impressions and one odontold frac-ture. Results:5 cases were cured,3 cases were evidently improved,1 case was improved slightly and lcase died of pneumonia. Conclusions:The authors pointed out that transoral microsurgery allows e- nough room for the exposure. The wound infection and C.S.F. leakage can be avoided by meticulous micro-operation.

关 键 词：颅颈病变 显微外科手术 经口咽入路 

分 类 号：R651.1[医药卫生—外科学]