局解手术学杂志2017，Vol.26Issue(9)：675-678,4.DOI:10.11659/jjssx.03E017004
术前椎动脉CT血管造影检查在上颈椎手术置钉中的应用
Application of preoperatively vertebral artery CTA in screw setting of upper cervical spine
杨会峰 1郭明明 1谢雁春 1于海龙1
作者信息
- 1. 沈阳军区总医院骨科,全军重症战伤救治中心,辽宁 沈阳 110016
- 折叠
摘要
Abstract
Objective To study the application of cervical vertebral artery CT angiography(CTA) preoperatively in the screw setting of upper cervical spine.Methods The data of 170 patients who underwent upper cervical spine surgery from January 2014 to December 2015 in our hospital were retrospectively analyzed,of whom 80 cases with typeⅡodontoid fractures,90 cases with atlantoaxial dislocation;20 cases were operated with occipitocervical fusion,150 cases treated with atlantoaxial fusion.Seventy-eight cases were examinated by cervical vertebral artery CTA before sugery(observation group) but the other 92 cases(control group).The rate of the vertebral arterial lesion between the two groups were compared.Results Six cases with vertebral artery injury in control group,the incidence of arterial injury was 7％;unilateral vertebral artery was found in 3 cases,small congenital development of left cervical vertebral artery in 5 case,abnormal branch in 5 cases.The rate of dysplasia was 17％,and the rate of vertebral artery injury was 0.The rate of vertebral artery injury in control group was higher than observation group,the difference was significant(P<0.05).Conclusion Vertebral artery CTA examination preoperatively may become a routine examination,in order to make the operator carefully evaluate the relationship between the vertebral artery with atlantoaxial vertebral,choose the accurate screw-setting and avoid the vertebral artery injury in the upper cervical spine surgery.关键词
椎动脉/CT血管造影/上颈椎/置钉/颈枕融合术/寰枢椎融合入术Key words
vertebral artery/CT angiography/upper cervical spine/screw setting/occipitocervical fusion/atlantoaxial fusion分类
医药卫生引用本文复制引用
杨会峰,郭明明,谢雁春,于海龙..术前椎动脉CT血管造影检查在上颈椎手术置钉中的应用[J].局解手术学杂志,2017,26(9):675-678,4.
