一种新型撑开钳及其在寰枢椎脱位撑开复位中的应用研究  

Innovation of a new type of distracting clamp and its clinical application in atlantoaxial dislocation

作　　者：王宇飞 高方友[2] 王曲[2] 刘窗溪[2] 宋俊良 蒋亚东 蒋亚维 WANG Yu-fei;GAO Fang-you;WANG Qu(Zunyi Medical University, Zunyi 563000, China)

机构地区：[1]遵义医科大学,遵义563000 [2]贵州省人民医院神经外科 [3]四川大学设计院

出　　处：《临床神经外科杂志》2021年第1期64-67,共4页Journal of Clinical Neurosurgery

摘　　要：目的研究一种专用于颅颈交界区手术的新型撑开钳,及其在寰枢椎脱位(AAD)撑开复位中的应用效果。方法设计制作新型撑开钳,用于30例寰枢椎脱位患者的撑开复位手术操作中。术后对患者进行随访,观察患者症状变化。对术前术后的寰齿间距(ADI)、日本骨科协会(JOA)评分进行比较分析,评估改善率。结果本组患者在手术过程中均未出现撑开钳滑脱。术后平均随访时间13.4(6~25)个月,患者术后神经功能均恢复良好,症状得到明显改善,均未出现并发症。ADI由术前的(6.31±0.89)mm复位到(2.74±0.91)mm(P<0.001);JOA评分由术前的(12.67±2.70)分改善至(15.80±1.06)分(P<0.001),平均改善率为69.1%。结论新型撑开钳在寰枢椎脱位撑开复位中的使用效果良好,有一定的临床使用价值。Objective To study a new type of distraction forceps for craniocervical junction surgery and its application effect in the distraction reduction of atlantoaxial dislocation(AAD).Methods A new type of distraction forceps was designed and made for 30 with AAD.The patients were followed up to observe the changes of symptoms.The atlanto odontoid distance(ADI)and Japanese Orthopaedic Association(JOA)scores before and after operation were compared and analyzed to evaluate the improvement rate.Results No slippage occurred during the operation.The average follow-up time was 13.4(6-25)months.The neurological function of the patients recovered well,the symptoms were improved significantly,and no complications occurred.ADI was reduced from(6.31±0.89)mm to(2.74±0.91)mm(P<0.001).JOA score was improved from(12.67±2.70)to(15.80±1.06)(P<0.001),with an average improvement rate of 69.1%.Conclusion The new type of distraction forceps has a good effect in the distraction reduction of(AAD),and has a certain clinical value.

关 键 词：撑开钳 寰枢椎脱位 颅颈交界区手术 术中滑脱 

分 类 号：R651[医药卫生—外科学]