枕颌带牵引辅以头颈胸支具外固定治疗儿童寰枢关节半脱位31例  

Occiput and Mandible Traction Belt and External Fixation in Treatment of 31 Cases of Children Atlanto-axial Joint Subluxation

作　　者：黄俊杰[1,2] 闫晓东[1] 孙宏慧[1] 孙嗣国[1] 廖博[1] 张永远[1] 

机构地区：[1]第四军医大学唐都医院骨科 [2]第四军医大学学员旅,陕西西安710038

出　　处：《昆明医科大学学报》2015年第3期60-62,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81401001);第四军医大学附属唐都医院科技创新发展基金资助项目(2013CXTS003)

摘　　要：目的探讨枕颌带牵引辅以头颈胸支具外固定治疗儿童寰枢关节半脱位的临床效果.方法收治的儿童寰枢关节半脱位31例,采用仰卧位枕颌带牵引,并根据复位情况调整牵引重量和角度.X线片证实复位后,根据患儿年龄选用合适的头颈胸支具外固定,出院后院外支具固定4-6周.结果经本方法治疗后,有28例达到治疗效果,临床症状消失,随访1-5 a,复查X线片示寰枢关节解剖位置正常,3例患儿出现复发,后期考虑行手术治疗.结论利用枕颌带牵引辅以头颈胸支具外固定治疗不同原因引起的儿童寰枢关节半脱位可获得良好的治疗效果,具有安全、简便、经济和复发率低的特点.Objective To survey the therapeutic effects of occiput and mandible traction belt and external fixation of brace fastening head, neck and chest on children atlanto-axial joint subluxation. Methods We used occiput and mandible traction belt at supine position,and adjusted the traction weight and angle according to the replacement condition. After the replacement was confirmed via X-ray, we chose appropriate type of brace fastening head, neck and chest, based on the children＇s age,and kept fixing for 4-6 weeks out of hospital. Results 28 cases achieved therapeutic effect after treatment,whose clinical symptoms disappeared and the anatomical position of atlanto-axial joint returned to normal. Three cases relapsed and were treated with operation later. Conclusion Treating children atlanto-axial joint subluxation by using occiput and mandible traction belt and external fixation of brace fastening head, neck and chest could obtain a good therapeutic effect, with characteristics of safety,simplicity, economy and low recurrence rate.

关 键 词：儿童 枕颌带 寰枢关节半脱位 

分 类 号：R454[医药卫生—治疗学]