经口咽入路显微减压术治疗颅颈区畸形腹侧型  

Transoral Microsurgical Decompression to the Craniocervical Abnormalities with Ventral Compression

作　　者：封亚平[1] 章翔[2] 柏秀松[1] 刘卫平[2] 封雨[1] 

机构地区：[1]成都军区昆明总医院神经外科,昆明650032 [2]第四军医大学西京医院全军神经外科研究所,西安710032

出　　处：《昆明医学院学报》2004年第1期67-69,共3页Journal of Kunming Medical College

摘　　要：目的 :探讨颅颈区畸形腹侧型经口咽入路显微减压术的疗效 .方法 :对经MRI检查确诊为颅颈区畸形腹侧型的 15例患者 ,采用经口咽入路显微手术切除齿状突、斜坡下部及增生的结缔组织 ,解除其对延颈髓的压迫 .结果 :痊愈 12例 (80 % ) ,好转 2例 (13 3% ) ,无效 1例 (6 7% ) .手术并发脑脊液漏 1例 ,软腭裂开 1例 ,经治疗痊愈 .结论Objective: To study the transoral microsurgical decompression outcome in the patients with the craniocervical abnormalities of ventral compression. Methods: 15 patients with the craniocervical abnormalities of ventral compression were diagnosed by MRI scanning. Transoral microsurgical decompression was performed by removing odontoid process, lower 1/3 of clivus and proliferated connective tissues. Results: Good recovery in 12 (18%), improvement in 2 (13.3%), and no changes in 3 (6.7%). The complications related to the surgery were cerebral-spinal fluid leakage (n=1), palate dehiscence (n=1). Conclusion: Transoral mirosurgical decompression is the first selection of treatment for craniocervical abnormalities with ventral compression.

关 键 词：经口咽入路 显微减压术 治疗 颅颈区畸形 腹侧型 核磁共振 

分 类 号：R651[医药卫生—外科学]