寰枕畸形合并颅底凹陷的手术方式选择体会  

Atlas Pillow Deformity and Skull Base Sag Surgery Mode Selection

作　　者：郑虎林[1] 白磊[1] 陈晨[1] 霍龙伟[1] 王国伟[1] 

机构地区：[1]陕西榆林市第一医院,陕西榆林719000

出　　处：《当代医学》2017年第3期26-28,共3页Contemporary Medicine

基　　金：榆林市技术研究与发展计划;计划类别:社发研究(2014jh-22)

摘　　要：目的探讨寰枕畸形合并颅底凹陷的手术方式选择。方法选取65例寰枕畸形合并颅底凹陷患者为研究对象,随机抽取32例为研究组,行口咽入路松解减压后路颈枕固定融合术;另33例为对照组,行后路颅窝减压术,比较两组患者的临床疗效。结果研究组的治疗总有效率为96.87%高于对照组的57.58%,两组比较差异有统计学意义(P<0.05);术后2周,研究组和对照组患者的临床症状明显优于术前,术后随访4~18个月,研究组无复发,对照组复发25例,两组复发情况比较,差异有统计学意义(P<0.05)。结论对于寰枕畸形合并颅底凹陷患者而言,选择口咽入路松解减压后路颈枕固定融合术,临床疗效确切,不良反应发生率及复发率较低。Objective To study atlas pillow deformity and skull base sag surgery mode selection. Methods The 65 cases of patients with atlas pillow deformity and skull base sag were selected as the research objects, 32 atlas pillow deformity and skull base sag patients, as observation group, were given oropharynx approach release stress fixed arthrodesis posterior neck pillow, 33 atlas pillow deformity and skull base sag patients, as control group, were given posterior cranial fossa decompression. Results Observation group total effective rate 93.75% was higher than control group 57.58%, the difference was statistically significant （P〈0.05）; 2 weeks after treatment, clinical symptoms of 2 groups were much better than before treatment, ollow-up of 4-18 months, observation group had no relapse, control group had 25 recurrence relapse, compared with 2 groups, difference was statistically significant （P〈0.05）. Conclusion For atlas pillow deformity and skull base sag surgery patients, to select oropharynx approach release decompression posterior neck pillow fixed fusion features effective clinical curative and low adverse reaction rate and the recurrence rate.

关 键 词：寰枕畸形 颅底凹陷 术式 疗效 

分 类 号：R651.1[医药卫生—外科学]