| 自制齿状突导针定位器治疗齿状突骨折的临床分析 |
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投稿时间：2016-06-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 吴树华 |
WU Shu-hua |
丹阳市人民医院骨科, 江苏 丹阳 212300 |
Department of Orthopaedics, Danyang People's Hospital, Danyang 212300, Jiangsu, China |
13852966566@139.com |
| 王树金 |
WANG Shu-jin |
丹阳市人民医院骨科, 江苏 丹阳 212300 |
Department of Orthopaedics, Danyang People's Hospital, Danyang 212300, Jiangsu, China |
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| 王遥伟 |
WANG Yao-wei |
丹阳市人民医院骨科, 江苏 丹阳 212300 |
Department of Orthopaedics, Danyang People's Hospital, Danyang 212300, Jiangsu, China |
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| 荆瑜鹏 |
JING Yu-peng |
丹阳市人民医院骨科, 江苏 丹阳 212300 |
Department of Orthopaedics, Danyang People's Hospital, Danyang 212300, Jiangsu, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第10期，第883-886页 |
| DOI：10.3969/j.issn.1003-0034.2016.10.003 |
| 基金项目: |
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中文摘要:
目的：分析自制简易齿状突导针定位器在颈前路中空钉治疗成人齿状突骨折的疗效与可行性。
方法：自2010年6月至2012年12月，收治新鲜成人齿状突骨折 6 例，其中男4例，女2例；年龄28~55岁，平均39.1岁；交通伤 4例，高处跌落伤 2例。按Anderson分型：Ⅱ型4例，浅Ⅲ型2例。受伤至手术时间 5~7 d，平均5.9 d。患者均无脊髓损伤表现，采用颈前入路运用自制齿状突导针定位器行单枚中空螺钉内固定治疗，观察手术中的安全性及可行性，随访患者术后骨折愈合情况与临床效果。
结果：6例患者均顺利完成手术，手术时间为45~55 min，平均50 min；术中出血量20~30 ml，平均25 ml。术中未发生损伤食道、气管及血管神经情况。6例患者均获得随访，时间8~16个月，平均11.2个月。骨折均获骨性愈合，患者末次随访时颈椎过伸过屈位摄片显示寰枢关节稳定。
结论：自制简易齿状突导针定位器在颈前路中空螺钉内固定治疗齿状突骨折中具有微创、短时、安全等特点，在没有专业定位器的情况下，不失为一种可靠的选择。 |
| 【关键词】齿状突骨折 中空螺钉 内固定术 齿状突导针定位器 |
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| Clinical analysis of the self-made needle guide for the treatment of odontoid fracture |
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ABSTRACT
Objective:To analyze the curative effects and feasibility of the self-regulating simple localizer through anterior approach for the treatment of odontoid fracture in adults.
Methods:From June 2010 and December 2012,6 patients with odontoid fracture underwent an anterior operation using a single hollow screw located by the self-regulating simple localizer. There were 4 males and 2 females,aged from 28 to 55 years old with an average of 39.1 years. The injuries were caused by traffic accidents in 4 cases and falling injury from high in 2 cases. According to the classification of Anderson,4 cases were typeⅡ and 2 cases were simple type Ⅲ. All the patients underwent operations in 5 to7 days after injury with the mean of 5.9 days. None of the patients had a spinal cord injury. The safety and feasibility of the self-made localizer were observed in follow-up for fracture healing and clinical effects.
Results:All the operations were successful with an average time of 50 min (ranged from 45 to 55 min) and the mean bleeding volume was 25 ml(ranged from 20 to 30 ml). No injuries of esophagus,trachea or nerve were found. All the patients were followed up from 8 to 16 months and all fractures were obtained bone healing. The flexion-extension radiograph showed a well stability of atlantoaxial joint in last followed-up.
Conclusion:The self-regulating simple localizer is a minimally invasive,short time and safe method in treating odontoid fractures through anterior operation with hollow screw. It may be a reliable choice while without a professional localizer. |
| KEY WORDS Odontoid fracture Hollow screw Fracture fixation,internal Odontoid localizer |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴树华,王树金,王遥伟,荆瑜鹏.自制齿状突导针定位器治疗齿状突骨折的临床分析[J].中国骨伤,2016,29(10):883~886 |
| 英文格式: | WU Shu-hua,WANG Shu-jin,WANG Yao-wei,JING Yu-peng.Clinical analysis of the self-made needle guide for the treatment of odontoid fracture[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(10):883~886 |
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