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经口咽入路

经口咽入路的相关文献在1992年到2018年内共计89篇,主要集中在外科学、临床医学、基础医学 等领域,其中期刊论文85篇、会议论文4篇、专利文献65325篇;相关期刊65种,包括现代生物医学进展、护士进修杂志、解放军护理杂志等; 相关会议3种,包括中国康复医学会颈椎病专业委员会第十二次学术年会、第42届国际脊髓学会学术年会、浙江省中医药学会2017年骨伤科分会学术年会等;经口咽入路的相关文献由247位作者贡献,包括尹庆水、吴增晖、夏虹等。

经口咽入路—发文量

期刊论文>

论文:85 占比:0.13%

会议论文>

论文:4 占比:0.01%

专利文献>

论文:65325 占比:99.86%

总计:65414篇

经口咽入路—发文趋势图

经口咽入路

-研究学者

  • 尹庆水
  • 吴增晖
  • 夏虹
  • 章凯
  • 刘景发
  • 艾福志
  • 昌耘冰
  • 麦小红
  • 刘娟
  • 戴建强
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 许俊杰; 吴增晖; 夏虹; 马向阳; 章凯; 黄显华; 马航展; 邱锋
    • 摘要: 目的 研究经口前路寰枢椎复位植骨融合内固定术(TARP)手术将齿状突下移、寰枢椎内固定治疗颅底凹陷症的临床疗效和相关影像学参数,介绍关于TARP手术治疗颅底凹陷症的相关临床经验.方法 回顾性分析21例颅底凹陷症患者,年龄21~64岁[平均(38±11.1)岁].所有患者均采用TARP手术进行治疗,评估术前、术后JOA评分,延髓脊髓角等相关临床疗效参数和影像学参数,20例患者(20/21)平均随访(12.5±7.6)个月,1例患者因骨质疏松症,术后出现螺钉松动,后失访.将20例患者术前、术后参数,使用配对样本t检验进行统计学分析.结果 术后20例患者的症状均较术前有不同程度改善,术前JOA评分平均(12.75±3.31)分(n=20),术后(15.9±1.52)分(n=20),改善率为76%;术后的影像学资料提示,患者延髓脊髓角平均较术前改善,由术前的(128.7±11.9)°(n=20),改善为术后的(156.5±8.1)°(n=20)(P<0.01).结论 TARP手术的复位功能和术中的颅骨牵引,可以即时将颅底凹陷症的齿状突上移,对颈脊髓起到直接减压、固定的作用,其临床效果明显,值得推广.
    • 梁金; 张敏; 陈天立; 谢宇平; 陶峰; 秦岭
    • 摘要: Objective:To explore the clinical characteristics and surgical treatment of clival tumor, so as to improve the outcome. Methods:A case of clival tumor resection through transoral approach in the department of neurosurgery, Gansu Provincial People’s Hospital was retrospectively analyzed. Results:hTe patient was admitted for dysphagia, hoarseness for 2 years and the aggravation of the diseases accompanied the pain of the letf neck and shoulder for 2 months. Imaging examinations showed a giant mass lesion in the middle and lower clivus, the pons and medulla were notably extruded and the nasopharyngeal cavity was narrowed, the clivus, the letf temporal bone and the letf side of the atlas were destroyed. hTe tumor was resected via transoral approach with the assistance of otolaryngologist and maxillofacial surgeons. hTe clinical symptoms of the patient were signiifcantly relieved. Pathological examinations revealed chordoma. Conclusion:hTe choice of surgical approach, multidisciplinary team and skillful surgical technique are the decisive factors of the success.%目的:探讨斜坡肿瘤的临床特点和手术治疗,以提高治疗效果。方法:对甘肃省人民医院神经外科经口咽入路切除巨大斜坡肿瘤1例病例的临床及手术资料进行回顾性分析。结果:本例患者主因吞咽困难、声音嘶哑2年,加重伴左颈肩部疼痛2个月入院,影像学检查提示中下斜坡巨大占位性病变,向后压迫桥脑和延髓,向前推挤咽后壁软组织,鼻咽腔变窄,颅底斜坡、左侧颞骨和寰椎左侧骨质破坏。在耳鼻喉科、口腔颌面外科医生的协助下为患者施行了经口咽入路斜坡肿瘤切除术。术后患者临床症状明显缓解。病理检查提示为脊索瘤。结论:手术入路的选择、多学科协作、熟练的手术技巧是手术成功的重要因素。
    • 梁金1; 张敏2; 陈天立1; 谢宇平3; 陶峰4; 秦岭1
    • 摘要: 目的:探讨斜坡肿瘤的临床特点和手术治疗,以提高治疗效果。方法:对甘肃省人民医院神经外科经口咽入路切除巨大斜坡肿瘤1例病例的临床及手术资料进行回顾性分析。结果:本例患者主因吞咽困难、声音嘶哑2年,加重伴左颈肩部疼痛2个月入院,影像学检查提示中下斜坡巨大占位性病变,向后压迫桥脑和延髓,向前推挤咽后壁软组织,鼻咽腔变窄,颅底斜坡、左侧颞骨和寰椎左侧骨质破坏。在耳鼻喉科、口腔颌面外科医生的协助下为患者施行了经口咽入路斜坡肿瘤切除术。术后患者临床症状明显缓解。病理检查提示为脊索瘤。结论:手术入路的选择、多学科协作、熟练的手术技巧是手术成功的重要因素。
    • 刘迎春; 张婷; 杨娟娟; 李光群; 张学琴
    • 摘要: 目的:探讨经口咽寰枢椎松解颈椎后路枕颈融合内固定术的护理配合。方法:选择7例寰枢椎脱位的患者,采用经口寰枢椎松解联合颈椎后路减压枕颈内固定融合术,术中持续有效的颈椎牵引,默契配合,舒适护理。结果:7例经口咽寰枢椎松解颈椎后路枕骨大孔减压枕颈内固定融合手术顺利,无手术意外及并发症的发生,有效缩短手术时间,无1例死亡,患者术后18~26天均痊愈出院。结论:护士术前访视、充分准备,熟悉手术步骤,配合技术娴熟,有利于手术的顺利进行。%Objective:To summarize the operation coordination of 7 cases of patients undergoing combination therapy by the transoropharynx release and posterior occipitocervical internal fixation. Methods:A total of 7 cases of patients underwent operation combining transoropharynx release and posterior occipitocervical internal fixation. Continuous and effective intraoperative traction, tacit cooperation, comfort care are of great importance. Results:All of the 7 patients accepting combination therapy by the transoropharynx release and posterior occipitocervical internal fixation had successful surgery ,no one had serious complications, the operation time was shortened, the hospital stay was 18-26 days. Conclusion:Preoperative visit, fully prepared, familiaring with the operation process, with the coordination technical skills, is the guarantee of a successful surgery.
    • 彭耀金; 聂团文; 邓春雷
    • 摘要: 目的 对经口、咽入路处理颅颈交界区病变的应用解剖进行分析.方法 选取2013年1月~12月成人尸体头颈部标本18例,通过模拟不同经口、咽入路入路手术,对经口、咽入路处理颅颈交界区病变的应用解剖进行分析.结果 单纯经口咽入路处理显露于斜坡下1/3~C2椎体下缘范围;经软、硬腭切开入路处理使纵向显露范围增加,且能显露于斜坡中部至C2/C3间隙范围;经上颌骨截骨入路使纵向显露提高,且能显露至斜坡上1/3及蝶窦.结论 临床采取经口、咽入路进行颅颈交界区病变处理能较好显露病变,且临床创伤小,根据具体情况采取合适术式处理颅颈交界区病变,有较好临床指导意义.
    • 孙秀钦; 廖文胜; 王利民; 鲍恒; 王卫东; 菅炎鹏
    • 摘要: 背景:经口前路松解后路融合内固定已成为治疗难复性寰枢关节脱位的主流治疗方法,但目前还缺乏长期疗效观察。  目的:观察经口前路松解后路融合及钉棒置入内固定治疗难复性寰枢关节脱位的临床疗效。  方法:经口前路松解后路融合内固定治疗难复性寰枢关节脱位患者32例,治疗后行颈椎正侧位数字化DR及颈椎MRI影像学检查了解神经压迫解除情况和骨性融合情况;治疗前、治疗后6个月及末次随访时采用JOA评分评定患者神经功能恢复情况。  结果与结论:治疗后29例获得随访,平均随访12个月。①所有患者均获得良好的寰枢关节复位和骨性融合,实现了复位与重建脊柱稳定性的双重目的。②所有患者治疗后脊髓受压明显减轻,神经功能均获得不同程度改善,治疗后6个月及末次随访JOA评分与治疗前比较,差异均有显著性意义(P <0.05)。③所有患者治疗过程中均无脊髓、椎动脉损伤等严重并发症发生,治疗后无感染、破溃等并发症发生。④影像学检查显示,经口前路松解后路融合内固定是治疗难复性寰枢关节脱位的一种安全有效的方法。%BACKGROUND:Transoral ventral release and posterior fusion have predominated in the treatment of irreducible atlantoaxial dislocation, but there is no consistent conclusion on the clinical efficacy. OBJECTIVE:To explore the clinical outcomes of transoral ventral release and posterior fusion and screw/rod implantation in the treatment of irreducible atlantoaxial dislocation. METHODS:A total of 32 patients with irreducible atlantoaxial dislocation undergoing thetransoral ventral release and posterior fusion were selected. After treatment, they received cervical anteroposterior and lateral digital DR and cervical MRI examinations to understand the conditions of nerve compression and bone fusion. The recovery of nerve function was evaluated using Japanese Orthopaedic Association before treatment, 6 months after treatment and during final fol ow-up. RESULTS AND CONCLUSION:Post-treatment, 29 patients were fol owed-up for an average period of 12 months. (1) Al the patients obtained perfect atlantoaxial joint reduction and bone fusion. This achieved reduction and reconstruction of spinal column stability. (2) Spinal compression was obviously lessened after treatment in al patients, and nerve functions were improved to different degrees. Significant differences in Japanese Orthopaedic Association score were detected between 6 months post-treatment, final fol ow-up and pre-treatment (P<0.05). (3) There were no serious intraoperative complications such as spinal cord or vertebral artery injuries. Postoperative complications such as infection or burst were also not found. (4) Imaging evaluation revealed that transoral ventral release and posterior fusion is safe and effective for treatment of irreducible atlantoaxial dislocation.
    • 孙秀钦; 廖文胜; 王利民; 鲍恒; 王卫东; 菅炎鹏
    • 摘要: 背景:经口前路松解后路融合内固定已成为治疗难复性寰枢关节脱位的主流治疗方法,但目前还缺乏长期疗效观察。 目的:观察经口前路松解后路融合及钉棒置入内固定治疗难复性寰枢关节脱位的临床疗效。 方法:经口前路松解后路融合内固定治疗难复性寰枢关节脱位患者32例,治疗后行颈椎正侧位数字化DR及颈椎MRI影像学检查了解神经压迫解除情况和骨性融合情况;治疗前、治疗后6个月及末次随访时采用JOA评分评定患者神经功能恢复情况。 结果与结论:治疗后29例获得随访,平均随访12个月。①所有患者均获得良好的寰枢关节复位和骨性融合,实现了复位与重建脊柱稳定性的双重目的。②所有患者治疗后脊髓受压明显减轻,神经功能均获得不同程度改善,治疗后6个月及末次随访JOA评分与治疗前比较,差异均有显著性意义(P 〈0.05)。③所有患者治疗过程中均无脊髓、椎动脉损伤等严重并发症发生,治疗后无感染、破溃等并发症发生。④影像学检查显示,经口前路松解后路融合内固定是治疗难复性寰枢关节脱位的一种安全有效的方法。
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