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目的 :分析儿童自发性寰枢椎半脱位的病因、临床表现及诊断与治疗。方法 :回顾 5例住院患儿的病史 ,阐述儿童自发性寰枢椎半脱位的临床表现及影像学诊断标准 ,着重分析早期诊断和正规的牵引治疗的重要性以及手术适应证和手术方法的选择。结果 :5例患儿均获随访 ,3例经颅骨牵引复位治疗 ,2例经手术治疗痊愈。结论 :早期诊断及正规的牵引是治疗此症的关键 ;误诊及不正规的牵引往往延迟病情 ,给患儿及家属造成身心痛苦及经济负担。
Objective: To analyze the etiology, clinical manifestations, diagnosis and treatment of children with spontaneous atlantoaxial subluxation. Methods: The history of 5 hospitalized children was reviewed. The clinical manifestations and imaging diagnostic criteria of spontaneous atlantoaxial subluxation in children were reviewed. The importance of early diagnosis and formal traction therapy and the selection of surgical indications and surgical methods were emphasized . Results: All the 5 children were followed up, 3 patients were treated by cranial traction and 2 patients recovered by surgery. Conclusion: Early diagnosis and regular traction are the key to the treatment of this disease. Misdiagnosis and irregular traction often delay the illness, causing physical and mental pain and financial burden to children and their families.