摘要
寰枢椎脱位伴高位脊髓压迫症是危害人们健康的常见病 ,治疗较为棘手。经口咽前入路手术是其治疗的重要手段 ,笔者就近年来经口咽前入路的各种减压及内固定手术及其相关治疗的进展情况进行了简述。认为经口咽前入路手术虽开展不广泛 ,但随着对颅颈交界区生理和病理解剖的深入了解、显微外科技术的积极应用、新技术的开展以及并发症的积极预防 ,经口咽前入路手术治疗寰枢椎脱位伴脊髓压迫症已日趋成熟 。
Atlantoaxial dislocation with high spinal cord compression is a common disease, which endangers people's health and is difficult to treat. Transoropharyngeal surgery is a very important method for the treatment of this disease. The author briefly reviews various operations of decompression and internal fixation through anterior transoropharyngeal approach and some correlative treatments conducted over the past few years. Although transoropharyngeal surgery has not been widely adopted at present, with increasing understanding of physiology and anatomy of the cranio-cervical junction, and development of microsurgical technic, and improvement in pre-vention and treatment of amplications, it has rapidly become a more acceptable approach for the treatment of atlantoaxial dislocation with cord compression. And with the application of new techniques, its treatment result will be conspicuously improved.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2004年第3期216-219,共4页
Medical Journal of Chinese People's Liberation Army
基金
广东省自然科学基金 (编号 2 0 0 2 30 0 1 )
广东省重点攻关项目 (编号 99B0 670 3G)
广东省医学科研基金 (编号A2 0 0 2 51 3)资助课题
关键词
寰椎
枢椎
脱位
经口咽前入路
治疗
atlas
axis
dislocations
transoropharyngeal approach
treatment
