CT在复杂颅颈部畸形诊疗中的作用
陈航;李海洋;史锡文;高延征;高坤
【期刊名称】《中华医学杂志》 【年(卷),期】2012(092)027
【摘要】目的 探讨CT在复杂寰枕畸形诊疗中的作用.方法 收集2010年1月至2012年2月河南省人民医院32例经手术治疗的复杂寰枕畸形术前术后CT影像学资料.男18例,女14例,年龄23 ～65岁,平均年龄36.8岁.病程3个月至10年,平均4.5年.结果 32例术前均行CT冠矢状扫描及三维重建明确诊断.12例经行口咽入路寰枢关节松解复位术和后路枕颈固定植骨融合术.8例单纯后路枕颈固定植骨融合术.5例行后路枕下减压和枕颈固定植骨融合术.4例行C1 ～2融合术.3例行经口咽入路齿状突磨除术,二期行枕颈固定植骨融合术.25例术后CT复查了解术后疗效,总有效率84％.结论 CT影像学检查对复杂颅颈交界区畸形的诊断、制定个性化手术方案及术后疗效评估起重要作用.%Objective To explore the roles of computed tomography (CT) in the diagnosis and treatment of complex atlas pillow deformity.Methods From January 2010 to February 2012,the preoperative and postoperative CT imaging findings were collected from 32 cases of complicated atlas pillow deformity undergoing surgical treatment at Henan Provincial People′s Hospital.There were 18 males and 14 females with a mean age of 36.8 years ( range:23 - 65 ).The average duration of disease was 4.5 years (range:0.25 -10).Results In 32 cases,a definite diagnosis was established preoperatively by coronary sagittal CT scans and 3-dimensional
CT在复杂颅颈部畸形诊疗中的作用
