摘要
目的探讨经口咽人路显微外科治疗以颈延髓腹侧受压为主的颅颈畸形的方法和效果。方法分析总结26例以颈延髓腹侧受压为主的颅颈畸形患者的临床资料。采用经口咽人路齿状突切除术的手术治疗。4例患者行后路植骨融合。结果26例患者中恢复生活自理17例,症状明显改善7例(其中2例术前合并的Chiari畸形和脊髓空洞症,术后复查MRI也明显恢复),长期卧床2例。所有病例未出现感染或脑脊液漏等并发症。无手术死亡。结论经口咽入路显微外科齿状突切除术是治疗颈延髓腹侧受压为主的颅颈畸形安全有效的方法。
Objective To explore the microsurgical treatment of the craniocervical malformation, by which ventral the cervical cord and medulla oblongata were pressed, by transoral-transpharyngeal approach and its curative effect. Method The clinical data of 26 patient with craniocervical malformation, who underwent resection of odontoid process through transoral-transpharyngeal approach, were analysed retrospectively. Results The following up showed that of 26 patients, 17 could take care of themselves, 7 significantly improved in symptoms and 2 were long confined to their bed. No complications such as infection or CSF leakage happened in all the cases. Chiari malformation and suringomyelia were preoperatively found and postoperatively on the mend according to MRI in 2 patients. No patients died of the operation. Conclusion Microsurgical resection of odontoid process through transoral-transpharyngeal approach provides an effective and safe means for treating craniocervical malformation, which produces ventral compression of the cervical cord and medulla oblongata.
出处
《中国临床神经外科杂志》
2004年第3期164-166,共3页
Chinese Journal of Clinical Neurosurgery
关键词
经口咽入路
颅颈畸形
显微外科
齿状突
Transoral-transpharyngeal approach
Craniocervical malformation
Microsurgery
Odontoid process
