复杂颅底凹陷畸形的手术治疗体会

Experience of complex deformity of skull base by surgical treatment

目的探讨复杂颅底凹陷的外科手术治疗效果。方法对郑州市第三人民医院2005年11月—2011年3月收治的22例复杂颅底凹陷的患者,根据不同的临床表现和影像学特征采取不同的手术方法。结果两组患者治疗前与治疗后3个月比较疗效均有明显改善。治疗后3个月经影像检查显示脊髓前、后方减压良好,枕颈植骨均已融合。两组患者手术前后SAC的测量结果比较差异有统计学意义(P<0.05)。结论颅底凹陷畸形是枕骨大孔区、寰枕区畸形较复杂的一种,应当根据不同临床症状、体征及影像学的表现采用不同手术方式。

Objective To explore the expenence of complex skull base surgical treatment.Methods The hospital in November 2005 to March 2011 treated 22 patients with complex skull base,depending on the clinical and imaging features to adopt different surgical methods.Results The two groups of patients before treatment and 3 months after treatment compared the efficacy showed significant improvement.3 months after the treatment period before imaging shows the spinal cord posterior decompression good pillow neck bone have been integrated.Two groups of patients before and after SAC measurements the difference was statistically significant（P0.05）.Conclusions The base of the skull deformity is a foramen magnum,atlanto-occipital region of a more complex deformity,should be based on different clinical symptoms,signs and imaging performance to choose different surgical methods.