本文报道5例经口腭径路达寰枢-斜坡区的手术方法,并作了文献回顾。手术方法:术前怍口咽细菌培养,预防性应用抗生素。应先由头颈外科医师进行暴露手术。患者取仰卧位,经口气管内插管全麻,通常不作气管切开。口腔、咽部用betadine彻底清洗,再次作细菌培养。用Dingman开口器压低舌位。若不作腭裂开即能暴露时,可经鼻插入红橡皮管至鼻咽与软腭根部以牵拉固定之。 This article reports 5 cases of oral  palatal path atlantoaxial - slope surgery method, and made a literature review. Surgical methods: 怍 oropharyngeal bacterial culture before surgery, prophylactic antibiotics. Head and neck surgeons should be exposed first. Patients supine position, endotracheal intubation anesthesia, usually without tracheotomy. Oral, pharynx with betadine thoroughly cleaned again for bacterial culture. Use Dingman openers to depress the tongue. If not open for cleft palate can be exposed, nasal rubber tube can be inserted through the nose to the nasopharynx and the root of the soft palate to stretch fixed.