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颅颈交界区畸形手术治疗及其并发症

滕楚北,  李学军

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文章导航 > 协和医学杂志  > 2020 >  11(6): 727-731
滕楚北, 李学军. 颅颈交界区畸形手术治疗及其并发症[J]. 协和医学杂志, 2020, 11(6): 727-731. doi: 10.3969/j.issn.1674-9081.2020.06.016
引用本文: 滕楚北, 李学军. 颅颈交界区畸形手术治疗及其并发症[J]. 协和医学杂志, 2020, 11(6): 727-731. doi: 10.3969/j.issn.1674-9081.2020.06.016
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TENG Chu-bei, LI Xue-jun. Surgical Treatment for Craniovertebral Junction Malformations and Prevention of Complications[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(6): 727-731. doi: 10.3969/j.issn.1674-9081.2020.06.016
Citation: TENG Chu-bei, LI Xue-jun. Surgical Treatment for Craniovertebral Junction Malformations and Prevention of Complications[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(6): 727-731. doi: 10.3969/j.issn.1674-9081.2020.06.016
shu

颅颈交界区畸形手术治疗及其并发症

doi: 10.3969/j.issn.1674-9081.2020.06.016

  • 中南大学湘雅医院神经外科，长沙 410008

详细信息
    通讯作者:

    李学军  电话：0731-84327328，E-mail：lixuejun70s@126.com

  • 中图分类号: R651.1; R619

Surgical Treatment for Craniovertebral Junction Malformations and Prevention of Complications

  • Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China

More Information

    摘要
  • 摘要: 颅颈交界区畸形是一类位于枕骨大孔及上颈椎的先天性畸形，可出现多种骨性以及脑和脊髓的畸形病变。该病治疗目前尚存诸多争议，近年来随着医疗技术的快速发展和多学科协作交流的日益密切，其治疗方式和理念有了新的认识和进展。本文将对颅颈交界区畸形的手术治疗方式及术后并发症的预防和处理进行综述，以期为临床医生提供指导和帮助。
    Abstract: Malformation of the craniovertebral junction area is congenital malformation of the occipital foramen and upper cervical vertebrae, which can present a variety of malformations of the bones, brain and spinal cord. There are still many controversies about the treatment of this disease. In recent years, with the interchange and development of multidisciplinary, there have been new progress and understanding of the treatment methods and concepts of the deformity of the craniovertebral junction area. Surgical treatment methods and the prevention of surgical complications of craniovertebral junction area were reviewed in this article.
    作者贡献：  滕楚北负责收集文献资料和撰写论文; 李学军负责指导并修订论文。
    利益冲突:   无
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    • 参考文献(30)
  • [1] 张远征, 周定标, 乔广宇, 等.枕大池重建术治疗Chiari畸形合并脊髓空洞[J].中华神经外科杂志, 2000, 16: 274-276. doi:  10.3760/j.issn:1001-2346.2000.05.003
    [2] Foreman P, Safavi-Abbasi S, Talley MC, et al.Periopera-tive outcomes and complications associated with allogeneic duraplasty for the management of Chiari malformations Type Ⅰ in 48 pediatric patients[J]. J Neurosurg Pediatr, 2012, 10:142-149. doi:  10.3171/2012.5.PEDS11406
    [3] Vidal CHF, Brainer-Lima AM, Valença MM, et al. Chiari 1 Malformation Surgery: Comparing Non-violation of the Arachnoid versus Arachnoid Opening and Thermocoagulation of the Tonsils[J]. World Neurosurg, 2019, 121:e605-e613. doi:  10.1016/j.wneu.2018.09.175
    [4] Yilmaz A, Kanat A, Musluman AM, et al. When is duraplasty required in the surgical treatment of Chiari malformation type Ⅰ based on tonsillar descending grading scale?[J]. World Neurosurg, 2011, 75: 307-313. doi:  10.1016/j.wneu.2010.09.005
    [5] Harms J, Melcher RP. Posterior C1-C2 fusion with polyaxial screw and rod fixation[J]. Spine, 2001, 26: 2467-2471. doi:  10.1097/00007632-200111150-00014
    [6] 郭胜利, 张远征, 周定标, 等.应用C1-2螺钉棒系统行后路复位、固定和融合治疗合并寰-枢椎脱位的颅底凹陷症[J].中华神经外科疾病研究杂志, 2014, 13: 412-415.
    [7] Goel A, Shah A, Gupta SR. Craniovertebral instability due to degenerative osteoarthritis of the atlantoaxial joints: analysis of the management of 108 cases[J]. J Neurosurg Spine, 2010, 12: 592-601. doi:  10.3171/2009.12.SPINE0999
    [8] 王超, 阎明, 周海涛, 等.难复性寰枢关节脱位的手术治疗[J].中华骨科杂志, 2004, 24: 290-294. doi:  10.3760/j.issn:0253-2352.2004.05.008
    [9] 宗睿, 张建飞, 乔广宇.颅颈交界区畸形后路固定术后吞咽困难发生原因分析[J].中华神经外科疾病研究杂志, 2017, 16: 502-506.
    [10] Menezes AH.Surgical approaches: postoperative care and complications "transoral-transpalatopharyngeal approach to the craniocervical junction"[J]. Childs Nerv Syst, 2008, 24: 1187-1193. doi:  10.1007/s00381-008-0599-3
    [11] Yu Y, Hu F, Zhang Xb, et al. Endoscopic transnasal odontoidectomy combined with posterior reduction to treat basilar invagination: technical note[J]. J Neurosurg Spine, 2013, 19: 637-643. doi:  10.3171/2013.8.SPINE13120
    [12] Mazzatenta D, Zoli M, Mascari C, et al. Endoscopic endonasal odontoidectomy: clinical series[J]. Spine, 2014, 39: 846-853. doi:  10.1097/BRS.0000000000000271
    [13] La Corte E, Aldana PR, Ferroli P, et al. The rhinopalatine line as a reliable predictor of the inferior extent of endonasal odontoidectomies[J]. Neurosurg Focus, 2015, 38: E16.
    [14] 毛剑男, 徐武, 金伟, 等. Chiari畸形Ⅰ型硬脑膜重建术后脑脊液漏原因及治疗策略[J].创伤与急危重病医学, 2018, 6: 173-174.
    [15] Lee CK, Mokhtari T, Connolly ID, et al. Comparison of Porcine and Bovine Collagen Dural Substitutes in Posterior Fossa Decompression for Chiari I Malformation in Adults[J]. World Neurosurg, 2017, 108:33-40. doi:  10.1016/j.wneu.2017.08.061
    [16] Woodroffe RW, Nourski KV, Helland LC, et al. Manage-ment of iatrogenic spinal cerebrospinal fluid leaks: A cohort of 124 patients[J]. Clin Neurol Neurosurg, 2018, 170:61-66. doi:  10.1016/j.clineuro.2018.04.017
    [17] Tunkel AR, Hasbun R, Bhimraj A, et al. 2017 Infectious Diseases Society of America's Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis[J].Clin Infect Dis, 2017, 64:e34-e65. doi:  10.1093/cid/ciw861
    [18] 中华医学会神经外科学分会, 中国神经外科重症管理协作组.中国神经外科重症患者感染诊治专家共识(2017)[J].中华医学杂志, 2017, 97:1607-1614. doi:  10.3760/cma.j.issn.0376-2491.2017.21.005
    [19] Tsubouchi N, Fujibayashi S, Otsuki B, et al. Risk factors for implant removal after spinal surgical site infection[J]. Eur Spine J, 2018, 27: 2481-2490. doi:  10.1007/s00586-017-5294-1
    [20] Neo M, Fujibayashi S, Miyata M, et al. Vertebral artery injury during cervical spine surgery: a survey of more than 5600 operations[J]. Spine, 2008, 33: 779-785. doi:  10.1097/BRS.0b013e31816957a7
    [21] Vaněk P, Bradáč O, de Lacy P, et al. Vertebral artery and osseous anomalies characteristic at the craniocervical junction diagnosed by CT and 3D CT angiography in normal Czech population: analysis of 511 consecutive patients[J]. Neurosurg Rev, 2017, 40: 369-376. doi:  10.1007/s10143-016-0784-x
    [22] Wakao N, Takeuchi M, Nishimura M, et al. Vertebral artery variations and osseous anomaly at the C1-2 level diagnosed by 3D CT angiography in normal subjects[J]. Neuroradiology, 2014, 56: 843-849. doi:  10.1007/s00234-014-1399-y
    [23] 黄学良, 朱双芳, 林雨聪, 等.三维重建CT血管造影在C1-2水平椎动脉变异诊断中的价值[J].中国脊柱脊髓杂志, 2018, 28: 315-319. doi:  10.3969/j.issn.1004-406X.2018.04.05
    [24] 尹一恒, 余新光, 佟怀宇.3D打印技术在颅底凹陷合并寰枢椎脱位手术中的应用[J].中华医学杂志, 2015, 95:3004-3007. doi:  10.3760/cma.j.issn.0376-2491.2015.37.002
    [25] 尹一恒, 李腾, 王华伟, 等. 3D打印技术在颅颈交界区畸形手术治疗教学中的应用探讨[J].中国医学教育技术, 2018, 32: 426-429.
    [26] Chhabra S, Chopra S, Kataria R, et al. Use of 3D printer model to study vertebral artery anatomy and variations in developmental craniovertebral junction anomalies and as a preoperative tool-an institutional experience[J]. J Spine Surg, 2017, 3: 572-579. doi:  10.21037/jss.2017.10.07
    [27] Reece EM, Vedantam A, Lee S, et al. Pedicled, vascularized occipital bone graft to supplement atlantoaxial arthrodesis for the treatment of pseudoarthrosis[J]. J Clin Neurosci, 2020, 74:205-209. doi:  10.1016/j.jocn.2019.04.014
    [28] 谭明生, 蒋欣, 移平, 等.改良枕颈融合术在上颈椎翻修手术中的应用[J].中国脊柱脊髓杂志, 2007, 17: 103-106. doi:  10.3969/j.issn.1004-406X.2007.02.010
    [29] Kaloostian PE, Kim JE, Bydon A, et al. Intracranial hemorrhage after spine surgery[J]. J Neurosurg Spine, 2013, 19: 370-380. doi:  10.3171/2013.6.SPINE12863
    [30] Ohya J, Chikuda H, Nakatomi H, et al. Acute obstructive hydrocephalus complicating decompression surgery of the craniovertebral junction[J]. Asian J Neurosurg, 2016, 11: 311-312.
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出版历程
  • 收稿日期:  2019-04-01
  • 录用日期:  2019-07-10
  • 网络出版日期:  2019-07-10
  • 刊出日期:  2020-11-30

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