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| 斜坡-齿状突型颅底陷入的治疗 | |
| 引用本文： | 张新庆,余新光,朱军,许康,陈通,周定标.斜坡-齿状突型颅底陷入的治疗[J].中国医师进修杂志,2004,27(2):23-24. |
| 作者姓名： | 张新庆 余新光 朱军 许康 陈通 周定标 |
| 作者单位： | 1. 北京市垂杨柳医院,神经外科,北京,100022 2. 解放军总医院,北京,100853 3. 华北煤炭医学院附属医院,河北,唐山,063000 |
| 摘 要： | 目的探讨斜坡-齿状突型颅底陷入的治疗原则.方法分析11例斜坡-齿状突型颅底陷入的临床资料.11例经口腔前方入路切除压迫延髓前方的齿状突,10例经后路枕颈植骨融合固定.结果平均随访1.2年,显效7例,有效3例,无效1例,无加重及死亡者.结论斜坡-齿状突型颅底陷入的治疗应首先考虑经口腔做前路减压,寰枢椎脱位者还需施行植骨融合固定. |
| 关 键 词： | 斜坡 齿状突 颅底陷入 治疗 |
| 文章编号： | 1002-0764(2004)01B-0023-02 |
| 修稿时间： | 2003年6月30日 |
Treatment of invagination with clivus-dens axis type in base of skull |
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| ZHANG Xin_qing,YU Xin_guang,ZHU Jun,XU Kang,CHEN Tong,ZHOU Ding_biao.Treatment of invagination with clivus-dens axis type in base of skull[J].Chinese Journal of Postgraduates of Medicine,2004,27(2):23-24. | |
| Authors: | ZHANG Xin_qing YU Xin_guang ZHU Jun XU Kang CHEN Tong ZHOU Ding_biao |
| Abstract: | Objective To investigate the treatment of invagination with clivus-dens axis type in base of skull. Methods The clinical materials in 11 cases of invagination with clivus-dens axis type in base of skull were analyzed. All of them were treated by odontoidectomy via oral approach, and 10 of them were performed by occipito-cervical fusion. Results The mean follow-up was 1.2 years for all 11 patients. Remarkable improvement was achieved in 7 patients, improvement in 3, no change in 1, and no deterioration and death. Conclusions The treatment of invagination with clivus-dens axis type in base of skull by odontoidectomy via oral approach should be first considered, and occipito-cervical fusion should be performed for the patients with atlanto-axial dislocation. |
| Keywords: | clivus dens axis invagination in base of skull treatment |
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