摘要
报道经口咽入路治疗１３例颅颈交界腹侧病变的手术疗效。其中８例先天性寰枕畸形伴脱位，３例斜坡至上颈椎体前部肿瘤，由慢性骨髓炎、类风湿性关节炎引起的齿突周围结缔组织增生并压迫高位颈髓各１例。全组无手术死亡及感染。４例出现颅颈椎不稳定，再行后枕－寰枢椎固定术及头环背心外固定各２例。除２例术后恢复良好外，余长期随访结果６例好转，２例重残，３例死亡（１例术前已重残，小儿及脊索瘤和转移瘤各１例）。早期诊断和充分减压是获得良好疗效的关键。
ight cases of congenital craniovertebral abnormalities, three of clivusventral vertebral tumors, one case of chronic osteomyelitis and one case of rheumatoid arthritis were operated on through transoral approach. There were no operative mortality and infection. Four cases suffered from postoperative craniovertebral anterior dislocation, and all of them were fixed by either the posterior fusion or halo traction. Except two recovered very well after the operations, eleven were followed for an average of 4 years and 2 months. The results showed that 6 patients could go back to their full or part time employment, 2 became disabled because of bad conditions before the operations. One severe disabled patient and 2 patients with tumors died. The results showed that early diagnosis, and timely treatment with complete decompression were the key of success for the ventral and epidural lesions of craniocervical junction.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1998年第1期3-5,I001,共4页
Chinese Journal of Orthopaedics
