经口咽入路显微手术切除齿状突22例  

Transoral microsurgery resecting 22 patients with odontoid process

作　　者：刘献志[1] 张志强[1] 保建基[1] 

机构地区：[1]郑州大学第一附属医院神经外科,河南郑州450052

出　　处：《第四军医大学学报》2002年第23期2206-2207,共2页Journal of the Fourth Military Medical University

基　　金：河南省教委自然科学基础研究课题 (2 0 0 0 32 0 0 1 5)

摘　　要：目的　总结报道经口咽入路显微手术切除齿状突的体会 .方法　在过去 5a研究经口咽齿状突切除的基础上 ,分析了近 2a 2 2例颅颈区畸形腹侧型以及合并环枢关节脱位、齿状突骨折上移等的术前准备、手术方法、手术要点和术后处理等 .结果　 2 2例经口咽显微镜下手术切除齿状突 ,无并发症和后遗症 .随访 3mo～ 2a ,恢复劳动能力 16例 ,症状改善 4例 ,无变化 2例 ,总有效率达 90 % .治愈率达 77% .结论　经口咽显微手术齿状突切除是治疗颅颈区畸形腹侧型 ,以及合并环枢关节脱位、齿状突骨折上移等的确切有效手术方法 ,采用我们的方法可避免严重的术中及术后并发症 .AIM The experiences of transoral microsurgery resecting odontoid process were reported in the article. METHODS It was analyzed that preoperative and postoperative management, main points of operation in 22 cases of patient with cranio cervical malformation(ventral type), and Odontoid process of fracture and moving upward and atlanto axial joint dislocations and so on . RESULTS No complications and sequelaes happened in all patients. Ability of work were recovered in 16 cases of patients, symptom improved in 4 cases of patients, no changes in 2 cases. Valid rates amount to 90%. Cure the rate to amound to 77%. CONCLUSION Transoral microsurgery resecting odontoid process is an effective and satisfied therapy. No severe complications during operating and postoperative time happened.

关 键 词：颅颈区畸形 齿状突 显微外科手术 经口咽入路 

分 类 号：R651.19[医药卫生—外科学]