日间腺样体扁桃体切除术后Grisel综合征的诊治进展  

Progress in the diagnosis and treatment of Grisel’s syndrome after adenotonsillectomy

作　　者：薛笛 梁鹏[1,2] XUE Di;LIANG Peng(Department of Anesthestology,West China Hospital,Sichuan University,Chendu,Sichuan 610041,P.R.China;Day Surgery Center,General Practice Medical Center,West China Hospital,Sichuan University,Chendu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院麻醉手术中心,成都610041 [2]四川大学华西医院全科医学中心日间手术中心,成都610041

出　　处：《华西医学》2025年第2期295-299,共5页West China Medical Journal

基　　金：四川省自然科学基金项目(2023NSFSC0676)。

摘　　要：Grisel综合征是一种罕见的颈椎疾病,特征为寰枢关节非外伤性旋转半脱位。该文通过系统综述,收集其发生机制、临床表现、诊断、治疗、并发症及风险管理的证据,以指导临床诊疗。该综合征常与腺样体扁桃体切除术相关,患者多表现为颈部僵硬、疼痛及“知更鸟体位”,其诊断依赖于MRI和CT扫描。在及时诊断后,多数患者可通过保守治疗控制病情,但保守无效或脱位严重者需手术治疗。因此,早期诊断和治疗至关重要。该文聚焦了日间腺样体扁桃体切除术后Grisel综合征的诊治进展,将为此罕见病的诊疗提供新思路。Grisel’s syndrome is a rare cervical spine disorder characterized by non-traumatic rotary subluxation of the atlantoaxial joint.This article provides a systematic review to collect evidence on its pathogenesis,clinical manifestations,diagnosis,treatment,complications,and risk management,in order to guide clinical diagnosis and treatment.The syndrome is often associated with adenotonsillectomy.Patients typically present with neck stiffness,pain,and a“cock robin posture”(chin tucked in and head tilted forward).Diagnosis relies on MRI and CT scans.After timely diagnosis,most patients can control the condition through conservative treatment.However,those with ineffective conservative treatment or severe subluxation may require surgical intervention.Therefore,early diagnosis and treatment are crucial.This article focuses on the progress in the diagnosis and treatment of Grisel’s syndrome after adenotonsillectomy,which will provide new insights into the diagnosis and treatment of this rare disease.

关 键 词：腺样体扁桃体切除术 Grisel综合征 斜颈 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]