中国医疗设备
中國醫療設備
중국의료설비
CHINA MEDICAL EQUIPMENT
2015年
6期
117-119,170
,共4页
赵旭辉%吕中强%王强
趙旭輝%呂中彊%王彊
조욱휘%려중강%왕강
齿状突磨除%钛板枕骨-颈椎后固定术%Chiari畸形Ⅰ型%颅脊角
齒狀突磨除%鈦闆枕骨-頸椎後固定術%Chiari畸形Ⅰ型%顱脊角
치상돌마제%태판침골-경추후고정술%Chiari기형Ⅰ형%로척각
odontoid removal%titanium plate occipital-cervical posterior fixation suture%type I Chiari malformation%cranial spinal angle
目的:分析齿状突磨除联合钛板枕骨-颈椎后固定术在Chiari畸形Ⅰ型患者颅脊角改善中的临床价值。方法选取1994年9月~2004年9月于本院就诊的Chiari畸形Ⅰ型患者36例,随机分为对照组(21例)和试验组(15例)。对所有患者进行颅脊角测量后,对对照组患者行枕下后颅窝减压术联合硬脑膜扩大修补术,对试验组患者行齿状突磨除联合钛板枕骨-颈椎后固定术。结果与对照组比较,试验组的颅脊角更小,枕骨大孔径、斜坡的长度和Twings线长度更长,两组差异均有统计学意义。试验组的临床总有效率显著高于对照组,并发症发生率显著低于对照组,两组差异均有统计学意义。试验组随访的远期效果显著优于对照组,差异有统计学意义。结论采用齿状突磨除联合钛板枕骨-颈椎后固定术对Chiari畸形Ⅰ型患者进行治疗,具有良好的效果。
目的:分析齒狀突磨除聯閤鈦闆枕骨-頸椎後固定術在Chiari畸形Ⅰ型患者顱脊角改善中的臨床價值。方法選取1994年9月~2004年9月于本院就診的Chiari畸形Ⅰ型患者36例,隨機分為對照組(21例)和試驗組(15例)。對所有患者進行顱脊角測量後,對對照組患者行枕下後顱窩減壓術聯閤硬腦膜擴大脩補術,對試驗組患者行齒狀突磨除聯閤鈦闆枕骨-頸椎後固定術。結果與對照組比較,試驗組的顱脊角更小,枕骨大孔徑、斜坡的長度和Twings線長度更長,兩組差異均有統計學意義。試驗組的臨床總有效率顯著高于對照組,併髮癥髮生率顯著低于對照組,兩組差異均有統計學意義。試驗組隨訪的遠期效果顯著優于對照組,差異有統計學意義。結論採用齒狀突磨除聯閤鈦闆枕骨-頸椎後固定術對Chiari畸形Ⅰ型患者進行治療,具有良好的效果。
목적:분석치상돌마제연합태판침골-경추후고정술재Chiari기형Ⅰ형환자로척각개선중적림상개치。방법선취1994년9월~2004년9월우본원취진적Chiari기형Ⅰ형환자36례,수궤분위대조조(21례)화시험조(15례)。대소유환자진행로척각측량후,대대조조환자행침하후로와감압술연합경뇌막확대수보술,대시험조환자행치상돌마제연합태판침골-경추후고정술。결과여대조조비교,시험조적로척각경소,침골대공경、사파적장도화Twings선장도경장,량조차이균유통계학의의。시험조적림상총유효솔현저고우대조조,병발증발생솔현저저우대조조,량조차이균유통계학의의。시험조수방적원기효과현저우우대조조,차이유통계학의의。결론채용치상돌마제연합태판침골-경추후고정술대Chiari기형Ⅰ형환자진행치료,구유량호적효과。
Objective To study the clinical effectiveness of combination of odontoid removal and titanium plate occipital-cervical posterior fixation suture in cranial spinal angle improvement for patients with type I Chiari malformation. Methods Altogether 36 patients who had been diagnosed with type I Chiari malformation from September 1994 to September 2004 were divided randomly into control group (n=21) and experiment group (n=15). Cranial ridge angle measurement was made in patients of both groups. Additionally, all the patients in control group received the combination of suboccipital-posterior cranial fossa ecompression and endocranium expansion-repairing. While, the patients in experiment group received the combination of odontoid removal and titanium plate occipital-cervical posterior fixation suture.Results The cranial spina angle was smaller and the foramen magnum diameter, slope and twings length were significantly longer in experiment group than that in control group with statistically significant differences. The total clinical efficacy rate in experiment group was significantly higher with lower occurrence rate of complications and statistically significant differences. The follow-up long-term effectiveness in experimental group was significantly lower than that in control group with statistically significant differences. Conclusion Application of combination of odontoid removal and titanium plate occipital-cervical posterior fixation suture in treatment of patients with type I Chiari malformation achieved excellent therapeutic effectiveness.