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颈椎双向牵引在寰枢椎脱位中的应用和原理初探
引用本文:尹庆水,刘景发,夏虹,吴增晖,徐国洲,潘刚明,黄华扬.颈椎双向牵引在寰枢椎脱位中的应用和原理初探[J].中华创伤骨科杂志,2003,5(3):182-183,186.
作者姓名:尹庆水  刘景发  夏虹  吴增晖  徐国洲  潘刚明  黄华扬
作者单位:510010,广州市,广州军区广州总医院骨科
摘    要:目的 探讨颈椎双向牵引床在寰枢椎脱位中的应用价值。方法 回顾性总结分析我院1984~2001年应用颈椎双向牵引技术治疗92例寰枢椎脱位患者的临床效果。结果 5例新鲜脱位均能复位,87例陈旧性病例中有7例未经前路松解术而能复位;72例须经前路松解后再牵引能缓慢复位,有8例仍不能复位。结论 颈椎双向牵引技术是对颈椎单向牵引的进一步革新和完善,牵引功效明显优于单向牵引,适应于经单向牵引无效的寰枢椎骨折脱位。

关 键 词:颈椎  双向牵引  寰枢椎脱位  牵引技术
文章编号:1671-7600(2003)03-0182-02

Bivector traction for atlantoaxial dislocation:its clinical application and principle
YIN Qing shui,LIU Jing fa,XIA Hong,WU Zeng hui,XU Guo zhou,PAN Gang ming,HUANG Hua yang.Bivector traction for atlantoaxial dislocation:its clinical application and principle[J].Chinese Journal of Orthopaedic Trauma,2003,5(3):182-183,186.
Authors:YIN Qing shui  LIU Jing fa  XIA Hong  WU Zeng hui  XU Guo zhou  PAN Gang ming  HUANG Hua yang
Institution:YIN Qing shui,LIU Jing fa,XIA Hong,WU Zeng hui,XU Guo zhou,PAN Gang ming,HUANG Hua yangDepartment of Orthopaedic Surgery,General Hospital of Guangzhou Military Region,Guangzhou 510010,China
Abstract:Objective To investigate practical value of bivector traction for atlantoaxial dislocation. Methods 75 cases of atlantoaxial fracture and dislocation were treated with bivector traction from 1984 to 2001, and their clinical effects were analyzed. Results 5 cases of fresh injury could be all reduced. Of the 70 cases of old injury, only 4 cases could be reduced without anterior release, 60 cases could be reduced after anterior decompression, and the other 6 cases could not be reduced. Conclusion With better clinical effect, the technique of bivector traction is an innovation or improvement of the traditional skull traction. It is suitable for patients with atlantoaxial dislocation which cannot be reduced with traditional skull traction.
Keywords:Atlantoaxial dislocation  Bivector traction
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