经口咽寰枢椎松解颈椎后路枕颈融合内固定术护理配合

目的：探讨经口咽寰枢椎松解颈椎后路枕颈融合内固定术的护理配合。方法：选择7例寰枢椎脱位的患者，采用经口寰枢椎松解联合颈椎后路减压枕颈内固定融合术，术中持续有效的颈椎牵引，默契配合，舒适护理。结果：7例经口咽寰枢椎松解颈椎后路枕骨大孔减压枕颈内固定融合手术顺利，无手术意外及并发症的发生，有效缩短手术时间，无1例死亡，患者术后18~26天均痊愈出院。结论：护士术前访视、充分准备，熟悉手术步骤，配合技术娴熟，有利于手术的顺利进行。

Operative cooperation of patients accepting combination therapy by the transoropharynx release and posterior occipitocervical internal fixation

Objective:To summarize the operation coordination of 7 cases of patients undergoing combination therapy by the transoropharynx release and posterior occipitocervical internal fixation. Methods:A total of 7 cases of patients underwent operation combining transoropharynx release and posterior occipitocervical internal fixation. Continuous and effective intraoperative traction, tacit cooperation, comfort care are of great importance. Results:All of the 7 patients accepting combination therapy by the transoropharynx release and posterior occipitocervical internal fixation had successful surgery ,no one had serious complications, the operation time was shortened, the hospital stay was 18-26 days. Conclusion:Preoperative visit, fully prepared, familiaring with the operation process, with the coordination technical skills, is the guarantee of a successful surgery.