摘要
目的提高儿童寰枢关节半脱位的诊断和治疗水平。方法对46例儿童寰枢关节半脱位患儿行枕颌吊带牵引治疗，加局部理疗。结果46例疗效均满意。有头颈部外伤史者平均疗程为20．3d，有上呼吸道感染史者平均疗程为13．5d，二者差异有统计学意义（P〈0．01）。结论为避免漏诊、误诊，应结合临床表现与颈椎张口位X线平片或颈椎CT检查。持续枕颌吊带牵引治疗是其主要治疗方法。对于有头颈部外伤史者，治疗时间应适当延长。
Objective To examine the diagnosis and treatment of atlantoaxial subluxation in children. Method Fortysix children with atlantoaxial subluxation were treated by mandible occipital beh traction combined with physical therapy. Result The average treatment course of the patients with trauma in the head or neck was 20.3 days, and that of the patients complicated with the upper respiratory tract infection was 13.5 days. The clinical efficacy was satisfactory in all the patients. Conclusion Diagnosis establishment of atlantoaxlal subluxation is based on the clinical manifestations and the results of cervical open mouth X - ray imaging or cervical CT scanning. Continuous mandible occipital belt traction is the main treatment of atlantoaxial subluxation in children.
出处
《临床外科杂志》
2010年第6期405-406,共2页
Journal of Clinical Surgery
关键词
寰枢关节半脱位
诊断
治疗
牵引
atlantoaxial subluxation
diagnosis
treatment
traction
