动力位影像学检查在颅颈交界区畸形诊治中的应用现状  

The Application of Hyperextension and Hyperflexion Position Imaging in the Diagnosis and Treatment of Craniocervical Junction Malformations

作　　者：张立波[1] 高方友 王曲[2] ZHANG Libo;GAO Fangyou;WANG Qu(Department of Graduate School, Zunyi Medical College, Zunyi 563000, China)

机构地区：[1]遵义医学院,贵州遵义563000 [2]贵州省人民医院,贵州贵阳550002

出　　处：《现代医院》2019年第4期609-612,615,共5页Modern Hospitals

基　　金：贵州省科技成果重点推广计划项目(编号:黔科合LH字[2014]7007号)

摘　　要：颅颈交界区畸形主要诊断方法包括常规中立位X线、CT及MRI检查,它们各有利弊,并相互补充。动力位影像学检查作为常规中立位检查的重要补充,更进一步提高了寰枢椎脱位或颅颈失稳的诊出率,并动态的反映寰枢关节的稳定性和脊髓的受压情况,对指导寰枢椎脱位的临床分型,判断寰枢椎脱位的可复性,制定适宜的手术方式具有重要意义。在临床上积极的推动了颅颈交界区畸形的诊治水平,并为人们更深入认识颅颈交界区畸形提供了新方法。据此,本文论述了动力位影像学检查在颅颈交界区畸形诊治中的相关应用。The main diagnostic methods of craniocervical junction malformations include routine neutral X-ray, CT and MRI examinations, which have their own advantages and disadvantages and complement each other. As an important supplement to routine neutral position examination, hyperextension and flexion imaging examination can further improve the diagnostic rate of atlantoaxial dislocation or craniocervical instability, and dynamically reflect the stability of atlantoaxial joint and the compression of spinal cord. It is of great significance to guide the clinical classification of atlantoaxial dislocation, to judge the reducibility of atlantoaxial dislocation and to formulate appropriate surgical methods. It has promoted the diagnosis and treatment of craniocervical junction malformations in clinic, and provided a new method for people to understand craniocervical junction malformations more deeply.

关 键 词：颅颈交界区畸形 中立位 动力位 寰枢椎脱位 失稳 

分 类 号：R683.5[医药卫生—骨科学]