| 经口咽入路显微手术治疗自发性寰枢椎脱位 |
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| 引用本文： | 陈铎,吕涛,关俊宏,魏翔泰,张力平,王成林,刘云会.经口咽入路显微手术治疗自发性寰枢椎脱位[J].中国医科大学学报,2008,37(2):257-259. |
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| 作者姓名： | 陈铎 吕涛 关俊宏 魏翔泰 张力平 王成林 刘云会 |
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| 作者单位： | 中国医科大学,附属盛京医院神经外科,沈阳,110004 |
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| 摘 要： | 目的探讨经口咽入路显微手术治疗自发性寰枢椎脱位的方法和疗效。方法回顾性分析7例自发性寰枢椎脱位病例。所有患者均经口咽入路显微手术治疗。所有患者术前均行颅颈交界处X线片侧位、颅颈交界处3D-CT和(或)MRI检查,5例患者同时伴有Chiari畸形,3例伴脊髓空洞症。结果无手术后死亡,无脑脊液漏和感染,5例获得随访,随访3个月～7年,平均随访2年4个月,生活完全自理2例,部分自理3例,术后7例患者均未行后期枕颈内固定术。结论经口咽入路显微直视减压术是治疗自发性寰枢椎脱位,解除脑干腹侧面受压的首选方法。
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| 关 键 词： | 寰枢椎脱位 口咽入路 显微手术 |
| 文章编号： | 0258-4646(2008)02-0257-03 |
| 修稿时间： | 2007年5月29日 |
Trans-oropharynx Microsurgical Treatment of Idiopathic Atlanto-axialdislocation |
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| CHEN Duo,LU Tao,GUAN Jun-hong,WEI Xiang-tai,ZHANG Li-ping,WANG Cheng-lin,LIU Yun-hui.Trans-oropharynx Microsurgical Treatment of Idiopathic Atlanto-axialdislocation[J].Journal of China Medical University,2008,37(2):257-259. |
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| Authors: | CHEN Duo LU Tao GUAN Jun-hong WEI Xiang-tai ZHANG Li-ping WANG Cheng-lin LIU Yun-hui |
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| Abstract: | Objective To discuss the therapeutic effect of trans-oropharynx microsurgical treatment of idiopathic atlanto-axial dislocation.Methods 7 patients with idiopathic atlanto-axial dislocation underwent microsurgery by an oropharynx approach.The clinical manifestations,image changes,surgical strategies and prognosis were summarized and analyzed retrospectively.Results 5 patients were followed up for 3 months-7 years,two of whom were fully cured and 3 were improved,with no operation-related death and infection.Conclusion Trans-oropharynx microsurgical decompression is the first choice to treat atlanto-axial dislocation of compressed ventral area of medulla oblogata and cervical spinal cord. |
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| Keywords: | atlanto-axialdislocation trans-oropharynx approach microsurgery |
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