摘要
作者报告一种治疗下脑于和上颈髓腹侧病变的手术入路。它包括枕下瓣状切口形成一侧皮瓣，暴露和切除枕下骨质、颈＿１半椎板以及酌情切除枕骨髁和颈＿１外侧块，将推动脉暴露于术野。本入路不牵拉脑和脊髓即能满意地显露下脑干和上颈髓前外侧面。１３例患者，９例为肿瘤，２例为巨型推动脉瘤，２例为颅颈畸形，采用此手术入路，无手术死亡和与手术入路有关的并发症发生。
AbstractA surgical approach to the anterior lower brain-stem and upper cervical spinal cord consists of a fash-ion of unilateral suboccipital scalp flap, exposure andresection of the suboccipital bone and hemilamina ofC_1 , removal of occipital condyle and the lateral mass ofC_1(occasionally). The satisfaction of exposing the anterolateral portion of lower brainstem and upper cervi-cal spinal cord can be obtained with minimal retraction-of the nervous tissue. 13 patients, 9 with tumors,2with giant vertebral aneurysms,2 with craniocervicalmalformations , underwent this operative procedurewithno surgical mortality andmorbidity which relatedto the approach.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第4期249-251,共3页
Chinese Journal of Surgery
