经口咽入路显微手术治疗寰枢椎脱位  

Trans-oropharynx microsurgical treatment of atlanto-axial dislocation

作　　者：田立[1] 王鹏飞[1] 郭荣彬[1] 赵庆林[1] 

机构地区：[1]河北医科大学第三医院神经外科,石家庄050051

出　　处：《中华神经医学杂志》2006年第3期298-299,共2页Chinese Journal of Neuromedicine

摘　　要：目的探讨采用经口咽入路显微外科治疗颅颈区腹侧畸形寰枢椎脱位的方法及疗效。方法颅颈区腹侧畸形寰枢椎脱位15例,手术采用经口咽入路显微直视下切除齿状突、斜坡下部及增生的结缔组织,解除其对延髓、颈髓腹侧的压迫。结果痊愈8例,好转7例,无手术后死亡和感染。结论经口咽入路显微直视减压术,是治疗延髓、颈髓腹侧受压的颅颈区畸形的首选方法,重视围手术期处理可预防术后并发症。Objective To discuss the therapeutic effect of trans-oropharynx microsurgical treatment of atlanto-axial dislocation, Methods Resection of odontoid process, lower clivus and proliferative connective tissue in 15 atlanto-axial dislocation patients was performed under a microscope via an oropharynx approach so as to relieve their compression to ventral area of medulla oblongata and cervical spinal cord. Results Eight cases were fully cured and 7 were improved, No operation-related death and infection occurred. Conclusion Trans-oropharynx microscopic decompression is the first choice to treat atlanto-axial dislocation of compressed ventral area of medulla oblogata and cervical spinal cord. In addition, perioperative management can prevent postoperative complications.

关 键 词：环枢椎脱位 口咽入路 显微外科手术 

分 类 号：R687[医药卫生—骨科学]