| 颈前外侧改良L形切口治疗上颈椎病变 |
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| 引用本文： | 李舰,杨述华,许伟华,叶树楠. 颈前外侧改良L形切口治疗上颈椎病变[J]. 国际骨科学杂志, 2009, 30(1) |
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| 作者姓名： | 李舰 杨述华 许伟华 叶树楠 |
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| 作者单位： | 430022武汉,华中科技大学同济医学院附属协和医院骨科;430022武汉,华中科技大学同济医学院附属协和医院骨科;430022武汉,华中科技大学同济医学院附属协和医院骨科;430022武汉,华中科技大学同济医学院附属协和医院骨科 |
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| 摘 要： | 目的 改进上颈椎颈前外侧手术入路的切口显露方式.方法 采用颈前外侧改良L形切口为7例上颈椎病变患者实施颈前路手术.包括联合后路手术1例.男5例,女2例;枢椎椎弓骨折2例,颈椎肿瘤4例,后纵韧带骨化1例;术后第1、3,6个月对患者进行随访.观察伤口部位生长变化情况和有无吞咽困难、颈髓损伤出现.结果 7例患者均经6个月随访.全部伤口于2周后获Ⅰ级甲愈合.1例术后出现呛咳,4周左右自行缓解.其余病例未出现颈部重要神经血管损伤与相应节段的颈髓损伤.所有病例无伤口感染,伤口显露及愈合效果满意.结论 颈前外侧改良L形切口可为上颈椎前方手术入路有效的切口显露方式之一.
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| 关 键 词： | 颈前外侧入路 上颈椎 切口 前路手术 |
Improved L-shaped incision of anterolateral cervical approach to the upper cervical vertebra |
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| LI Jian YANG Shu-hua XU Wei-hua,et al.. Improved L-shaped incision of anterolateral cervical approach to the upper cervical vertebra[J]. International Journal of Orthopaedics, 2009, 30(1) |
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| Authors: | LI Jian YANG Shu-hua XU Wei-hua et al. |
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| Affiliation: | LI Jian YANG Shu-hua XU Wei-hua,et al. Department of Orthopaedic Surgery,Union Hospital,Tongji Medical College of Huazhong University of Science , Technology,Wuhan 430022,China |
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| Abstract: | Objective To improve the incision mode of anterolateral cervical approach to the upper cervical vertebra. Methods A series of 7 patients who were surgically treated with improved L-shaped incision of anterolateral cervical approach to the upper cervical vertebra was reviewed.Among these patients,1 case combined with posterior approach.5 cases were male and 2 cases were female.According to classification of diseases,these cases involved a hangman's fracture (2 patients),cervical tumor (4 patients),ossificati... |
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| Keywords: | Anterolateral cervical approach Upper cervical vertebra Incision Anterior approach |
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