内窥镜辅助下经口咽前路寰枢椎减压术  

Endoscope assisted transoral-transpharyngeal approach to atlanto-axis decompression

作　　者：尹庆水[1] 黄华扬[1] 艾福志[1] 夏虹[1] 吴增晖[1] 权日[1] 昌耘冰[1] 章凯[1] 刘景发[1] 

机构地区：[1]广州军区广州总医院骨科,广州市510010

出　　处：《中国脊柱脊髓杂志》2006年第4期267-269,共3页Chinese Journal of Spine and Spinal Cord

基　　金：广东省自然科学团队基金资助课题(20023001);广东省重点攻关项目资助课题(99B06703G);广东省科技计划项目(2004B34001012)

摘　　要：目的:探讨内窥镜辅助下经口咽前路寰枢椎减压术的临床效果。方法:1998年8月～2004年8月对38例陈旧性寰枢椎脱位患者采用内窥镜辅助下经口咽前入路减压术,其中18例行一期经口咽入路减压和后路枕颈内固定术;15例行经口咽前路寰枢椎复位钢板内固定术;5例不可复型仅行经口咽前入路减压术。结果:平均随访38个月(6￣96个月),术后患者临床症状均明显改善,上颈段脊髓减压改善率达89.3%。发生颅内感染1例,前路钢板松脱1例。结论:与常规减压方法相比,内窥镜辅助下经口咽前路寰枢椎减压手术创伤小,操作精细、准确,术中与助手可协同操作。Objective：To evaluate the clinical results of endoscope assisted transoral-transpharyngeal approach to atlanto-axis decompression.Method：38 cases of old aflantoaxial dislocation with spinal cord compression were operated for atoanto-axis decompression with endoscope assisted transoral-transpharyngeal approach from August 1998 to August 2004.Result：The mean follow-up was 38 months （6-96 months）.All patients had achieved marked recovery on spinal cord function.The average improvement rate of vertebral canal decomression was 89.3%. 1 case occured encephalic infection, 1 case occured redislocation after internal fixation.Conclusion：Endoscope assisted transoral-transpharyngeal approach to atlanto-axis decompression has the following advantages,such as less-invesive,operation accurate,field of vision clear and a good cooperation between operator and assistant.

关 键 词：内窥镜 经口咽入路 减压 

分 类 号：R687.3[医药卫生—骨科学]