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采用一期经口咽入路治疗难复性寰枢关节脱位患者已取得了令人鼓舞的结果[1]。由于口咽部位属于Ⅱ类手术切口,尽管术前和术中尽量做无菌处理,但术中和术后仍然存在感染的风险。2000年12月～2006年11月,共有188例确诊为难复性寰枢关节脱位的患者在我科接受了经口咽入路寰枢关节松解复位、后路寰枢椎固定融合术,其中4例术后出现了败血症,报告如下。
The first phase of oropharyngeal approach for the treatment of patients with recurrent atlantoaxial dislocation has been encouraging results [1]. As the oropharyngeal part of the class II surgical incision, despite preoperative and intraoperative as possible aseptic treatment, but there is still the risk of infection during and after surgery. From December 2000 to November 2006, a total of 188 patients diagnosed as refractory atlantoaxial joint dislocation in our department underwent transoral approach of atlantoaxial joint release and posterior atlantoaxial fixation fusion, of which 4 cases of postoperative sepsis, the report is as follows.