颅脑损伤合并寰枢关节半脱位的临床诊治

目的 探讨颅脑损伤合并寰枢关节半脱位的诊断和治疗方法。方法 回顾性分析2014年1月至2017年1月收治的56例颅脑损伤合并寰枢关节半脱位的临床资料，积极采取预防性处理、颈托外固定、牵引复位等治疗。结果 CT复查显示，51例寰枢关节半脱位复位；5例影像学复查半脱位部分纠正，症状消失，其中4例旋转性脱位均纠正，无呼吸骤停或猝死。结论 对颅脑损伤合并寰枢关节半脱位，应早诊断、早治疗，可取得较好疗效。

Diagnosis and treatment of craniocerebral trauma accompanied with atlantoaxial subluxation (report of 56 cases)

Objective To explore the diagnosis and treatment of craniocerebral trauma accompanied with atlantoaxial subluxation. Methods The clinical data of 56 patients with craniocerebral trauma accompanied with atlantoaxial subluxation, who received the treatment such as external fixation with neck collar, traction and reduction of atlantoaxial subluxation and so on, were analyzed retrospectively. Results Of 56 patients with craniocerebral trauma accompanied with atlantoaxial subluxation, 51 were recovered well and 5 were on the mend. Conclusion The patients with craniocerebral trauma accompanied with atlantoaxial subluxation who are diagnosed and treated as early as possible may have good prognoses.