摘要
目的 探讨斜坡 -齿状突型颅底陷入的治疗原则。方法 分析 11例斜坡 -齿状突型颅底陷入的临床资料。11例经口腔前方入路切除压迫延髓前方的齿状突 ,10例经后路枕颈植骨融合固定。结果 平均随访 1.2年 ,显效 7例 ,有效 3例 ,无效 1例 ,无加重及死亡者。结论 斜坡 -齿状突型颅底陷入的治疗应首先考虑经口腔做前路减压 。
Objective To investigate the treatment of invagination with clivus-dens axis type in base of skull. Methods The clinical materials in 11 cases of invagination with clivus-dens axis type in base of skull were analyzed. All of them were treated by odontoidectomy via oral approach, and 10 of them were performed by occipito-cervical fusion. Results The mean follow-up was 1.2 years for all 11 patients. Remarkable improvement was achieved in 7 patients, improvement in 3, no change in 1, and no deterioration and death. Conclusions The treatment of invagination with clivus-dens axis type in base of skull by odontoidectomy via oral approach should be first considered, and occipito-cervical fusion should be performed for the patients with atlanto-axial dislocation.
