摘要
报告经口腔入路处理延髓—颈髓腹侧颅颈交界处病变7例,包括以颅底陷入为主的枕骨大孔区畸形6例和斜坡脊索瘤1例,效果较好。对手术方法作了简扼的介绍。作者认为,经口腔入路显露满意,只要处理得当,感染和脑脊液漏可以避免,因而不仅适用于斜坡齿状突型颅底陷入、齿状突骨折、环枢椎脱位,还适用于延髓—颈髓腹侧颅颈交界处的肿瘤和脑血管病。
Seven patients with lesions located at the ventralpart of craniocervical junction were operated on viatransoral approach with a satisfactory results.There were six basilar impressions and one clivalchordoma.The surgical technique was describedbriefly.The authors pointed out that transoralapproach allows enough room for exposing,andrelated infection and CSF leakage can be avoidedby adequate treatment.Transoral surgery can notonly be used for clivoodontoid type basilar impres-sion,odontoid fracture and atlanto-axial dislocation,but also for tumors and cerebrovascular diseaseslocated in ventral part of medulla oblongata andupper cervical spinal cord.
出处
《中华神经外科杂志》
CSCD
北大核心
1990年第3期197-199,共3页
Chinese Journal of Neurosurgery
