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陈旧性寰枢椎脱位合并延脊髓受压手术治疗(附32例报告)
引用本文:王振汉,刘淼,耿叔平,耿介,杨敏杰,张居仁.陈旧性寰枢椎脱位合并延脊髓受压手术治疗(附32例报告)[J].西安交通大学学报(医学版),1992(1).
作者姓名:王振汉  刘淼  耿叔平  耿介  杨敏杰  张居仁
作者单位:西安医科大学第一附属医院外科学教研室,西安医科大学第一附属医院外科学教研室,西安医科大学第一附属医院外科学教研室,西安医科大学第一附属医院外科学教研室,西安医科大学第一附属医院外科学教研室,西安医科大学第一附属医院外科学教研室 西安 710061,西安 710061,西安 710061,西安 710061,西安 710061,西安 710061
摘    要:1971年~1989年,我院手术治疗陈旧性寰枢椎脱位合并延脊髓受压32例。诊断主要依据X线检查及其测量。术后随访平均6年。优良率达87.5%。本文讨论了寰枢椎脱位的原因、有关手术操作方法和疗效。提高疗效的关键是在受压延脊髓发生不改逆改变之前早期诊断和手术治疗。

关 键 词:寰枢椎  脱位  延脊髓  压迫

SURGERY FOR OLD ATLANTOAXIAL DISLOCATION WITH BULB-SPINAL CORD COMPRESSION-A REPORT OF 32 GASES
Wang Zhenhan,Liu Miao,Geng Shuping,et al.SURGERY FOR OLD ATLANTOAXIAL DISLOCATION WITH BULB-SPINAL CORD COMPRESSION-A REPORT OF 32 GASES[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1992(1).
Authors:Wang Zhenhan  Liu Miao  Geng Shuping  
Abstract:32 patients with old atlantoaxial dislocation with bulb-spinal cord compression were treated surgically from 1971 to 1989. Their diagnoses were confimed mainly by X-ray examination and measurement. The average time of follow-up after operation was 6 years. The rate fo excellence and good was 87.5% per cent. The causes of atlantoaxial dislocation, operative techniques involved and results are discussed. The authors think that the key to the increase of the therapeutic effects is early diagnosis and surgical treatment before the irreverisible changes of bulb-spinal cord compression occur.
Keywords:atlas-axis  dislocation  bulb-signal cord  compression
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