Goel技术在颅颈交界区畸形中的应用研究进展  

Research Progress on the Application of Goel Technique in Craniovertebral Junction Anomalies

作　　者：余跃 李国强 许彦龙 张祎年[1] YU Yue;LI Guoqiang;XU Yanlong;ZHANG Yinian(Department of Neurosurgery,The Second Hospital of Lanzhou University,Neurosurgery Laboratory,Institute of Neurology,Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院神经外科神经外科实验室、兰州大学神经病学研究所,兰州730030

出　　处：《中国医学科学院学报》2023年第1期101-107,共7页Acta Academiae Medicinae Sinicae

基　　金：国家自然科学基金(81771297);兰州大学第二医院博士研究生培养专项基金(YJS-BD-31)。

摘　　要：颅颈交界区畸形是由多种因素造成的枕骨、寰枢椎骨质、小脑扁桃体、周围软组织及神经系统异常病理性改变的一类疾病。小脑扁桃体下疝畸形(Chiari畸形)是颅颈交界区畸形中最常见的一种类型,其传统手术治疗方法以枕骨大孔减压术为主,目前以Goel为代表的学者,基于后入路寰枢椎复位内固定技术(即Goel技术),就Chiari畸形的分型、发病机制、治疗理念提出新的理论,并对传统手术方法提出挑战。本文对该问题研究进展进行综述,为临床工作提供参考。Craniovertebral junction anomalies are a group of diseases characterized by the pathological changes of occipital bone,atlantoaxial bone,cerebellar tonsil,surrounding soft tissue,and nervous system,which are caused by a variety of factors.Chiari malformation is a common type of craniovertebral junction anomalies,the conventional surgical therapy of which is posterior fossa decompression.Currently,scholars represented by Goel have proposed a new theory on the classification,pathogenesis,and treatment of Chiari malformation based on posterior atlantoaxial fixation(Goel technique).This article introduces the progress in Goel technique,aiming to provide reference for the clinical work.

关 键 词：颅颈交界区畸形 CHIARI畸形 枕骨大孔减压术 寰枢椎复位内固定术 

分 类 号：R651.11[医药卫生—外科学]