伴寰枢椎脱位的颅底凹陷症患者翻修手术进展  

Research Progress of the Revision Surgery for Patients with Basilar Invagination and Atlantoaxial Dislocation and the Latest Application

作　　者：王佳璐 菅凤增[3] 张璨[3] 黄菊英[2] WANG Jialu;JIAN Fengzeng;ZHANG Can;HUANG Juying(School of Basic Medical Science,Capital Medical University,Beijing 100069,China;School of Biomedical Engineering,Capital Medical University,Beijing 100069,China;Department of Neurosurgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学基础医学院,北京100069 [2]首都医科大学生物医学工程学院,北京100069 [3]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国医疗设备》2023年第8期143-147,共5页China Medical Devices

基　　金：国家科学自然基金(81271519);北京市自然科学基金项目-北京市教育委员会科技计划重点项目(KZ202010025043);北京市教委科技计划面上项目(KM201510025010)。

摘　　要：随着对伴寰枢椎脱位(Atlantoaxial Dislocation,AAD)的颅底凹陷症(Basilar Invagination,BI)研究的进展,颅底区域的手术进行了较为广泛的应用,但是由于颅底区域结构的复杂性与不易观察性,临床上初次手术失败造成患者病情恶化并不是个例现象。因此,针对此类因初次手术失败而设计的翻修手术越来越受到重视。翻修手术相比初次手术难度更高,操作更加复杂,目前相关文献较少。本文对AAD的BI患者翻修手术相关进展进行综述,从实施翻修手术的原因、手术治疗策略、相关辅助技术及对此类翻修手术的未来展望共4个角度对其进行阐释。With the progress of the research on basilar invagination(BI)with atlantoaxial dislocation(AAD),the surgery of the skull base area has been widely used.Due to the complexity of the structure of the skull base and the difficulty of observing it,the exacerbation of the symptoms caused by the failure of the first operation is not an isolated phenomenon.As a result,the revision surgery for the failed first operation is also receiving more and more attention.Revision surgery is more difficult and complicated than the primary surgery,and there are few relevant literatures.This paper aims to review the progress of revision surgery in BI patients with AAD,and explain it from four perspectives:the reasons for revision surgery,surgical treatment strategies,related assistive technologies,and the future prospects of such revision surgery.

关 键 词：寰枢椎脱位 颅底凹陷症 翻修手术 综述 

分 类 号：R687.1[医药卫生—骨科学]