先天性寰枢椎脱位的诊断和治疗  

Diagnosis and Treatment of Congenital Atlanto-axial Dislocations Zhou Dingbiao

作　　者：周定标[1] 段国升[1] 张纪[1] 程东源 薛怀安 

机构地区：[1]军医进修学院神经外科

出　　处：《军医进修学院学报》1992年第3期214-217,共4页Academic Journal of Pla Postgraduate Medical School

摘　　要：本文报告在颅颈部畸形的基础上发生的先天性寰枢椎脱位23例,主要表现为不同程度的运动障碍,分别采用经口腔前路减压和/或后路减压植骨融合治疗,82.6％有效。作者介绍了手术方法,讨论了先天性寰枢椎脱位的发生机理、诊断和处理原则,并指出,对先天性寰枢椎脱位,牵引复位往往困难,单纯后路减压不仅很少有效,且相当危险,合理的治疗应该是经口腔切除齿状突,并作前路或后路植骨融合。Twenty-three cases of congenital atlanto-axial dislocation developed on the basis of craniocervical junction malformation were reported. The clinical manifestations were characterized by disturbance of motor function. The patients were treated by transoral decompression and/ or posterior decompression and fusion. 82.6% of them were benefited from the operations. The mechnism, diagnosis and the principles of treatment of congenital atlantoaxial dislocation were discussed. The authors pointed out that the reduction of congenital atlanto-axial dislocation by skull traction is usually difficult, the posterior decompression alone is seldom effective and even dangerous, and the rational treatment shoud be transoral removal of odontoid process with anterior or posterior fusion

关 键 词：寰枢关节 脱位 诊断 外科手术 

分 类 号：R684.7[医药卫生—骨科学]