[1]张静,尚坤,王勇.神经内镜辅助经岩前入路显微手术治疗向后延伸的岩斜区脑膜瘤的疗效[J].中国临床神经外科杂志,2023,28(04):246-247251.[doi:10.13798/j.issn.1009-153X.2023.04.006]
　ZHANG Jing,SHANG Kun,WANG Yong.Clinical efficacy of neuroendoscope-assisted microsurgery through anterior petroclinal approach for petroclival meningiomas with posterior extension[J].,2023,28(04):246-247251.[doi:10.13798/j.issn.1009-153X.2023.04.006]
点击复制

神经内镜辅助经岩前入路显微手术治疗向后延伸的岩斜区脑膜瘤的疗效()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年04期
页码:
246-247251
栏目:
论著
出版日期:
2023-04-30

文章信息/Info

Title:
Clinical efficacy of neuroendoscope-assisted microsurgery through anterior petroclinal approach for petroclival meningiomas with posterior extension
文章编号:
1009-153X（2023）04-0246-02
作者:
张静; 尚坤; 王勇
450000郑州，河南省人民医院神经外科（张静、尚坤、王勇）
Author(s):
ZHANG Jing;  SHANG Kun;  WANG Yong
Department of Neurosurgery, Henan Provincial People's Hospital, Zhengzhou 450000, China
关键词:
岩斜区脑膜瘤; 经岩前入路; 显微手术; 神经内镜; 疗效
Keywords:
Petroclival meningiomas;  Neuroendoscope;  Microsurgery;  Anterior petroclinal approach;  Clinical efficacy
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2023.04.006
文献标志码:
R739.41;R651.1+1
摘要:
目的 探讨神经内镜辅助经岩前入路显微手术治疗向后延伸的岩斜区脑膜瘤的疗效。方法 回顾性分析2015年7月至2020年1月神经内镜辅助经岩前入路显微手术治疗的13例向后延伸的岩斜区脑膜瘤的临床资料。结果 肿瘤全切除2例，次全切除9例，大部分切除2例。术后症状均有不同程度的缓解。2例术后出现短暂性复视，3个月内完全恢复。术后未出现脑脊液漏、听力损害、颅内出血。术后随访1个月~6.5年，平均2.5年；1例复发，无死亡病例。结论 神经内镜辅助经岩前入路显微手术治疗向后延伸的岩斜区脑膜瘤，效果良好。
Abstract:
Objective To investigate the effectiveness of neuroendoscope-assisted microsurgery through anterior petroclinal approach for petroclival meningiomas with posterior extension. Methods The clinical data of 13 patients with petroclival meningiomas with posterior extension who underwent neuroendoscope-assisted microsurgery through anterior petroclinal approach from July 2015 to January 2020 were retrospectively analyzed. Results Total resection of tumors was achieved in 2 patients, subtotal in 9 and greatly partial in 2. Symptoms were relieved in all patients after operation. Transient diplopia occurred in 2 patients after operation, and recovered completely within 3 months. There were no cerebrospinal fluid leakage, hearing damage or intracranial hemorrhage after operation. The postoperative follow-up ranged from 1 month to 6.5 years, with a mean time of 2.5 years. Recurrence of tumor occurred in 1 patient, and there was no death. Conclusions Neuroendoscope-assisted microsurgery through anterior petroclinal approach can obtain good outcmes in patients with petroclival meningiomas with posterior extension.

参考文献/References:

[1]Rao RM, Shrivastava A, Nair S. Anterior transpetrosal approach for petroclival meningioma: operative nuances [J]. Neurol India, 2020, 68(1): 20-25.
[2]贺宇波，张刚利，郭建忠，等. 颞下岩前入路切除岩斜区肿瘤的并发症及其预防[J]. 临床神经外科杂志，2020，17（5）：549-553.
[3]Morisako H, Ohata H, Shinde B, et al. Minimal anterior and posterior combined transpetrosal approach for large petroclival meningiomas [J]. J Neurosurg, 2021. doi: 10.3171/2020.8.JNS202060. Online ahead of print.
[4]陶晓刚，魏新亭，薛亚轲，等. 耳前颞下经岩前入路切除岩斜区肿瘤[J]. 中国微侵袭神经外科杂志，2020，25（12）：529-532.
[5]Tamura R, Toda M, Morimoto Y, et al. Analysis of temporo-basal vein with short subdural segment for anterior trans-petrosal approach [J]. World Neurosurg, 2019, 132: e554-e562.
[6]Xie S, Xiao XR, Li H, et al. Surgical treatment of pontine cavernous malformations via subtemporal transtentorial and intradural anterior transpetrosal approaches [J]. Neurosurg Rev, 2020, 43(4): 1179-1189.
[7]Tomio R, Horiguchi T, Borghei-Razavi H, et al. Anterior transpetrosal approach: experiences in 274 cases over 33 years: technical variations, operated patients, and approach-related complications [J]. J Neurosurg, 2021, 136(2): 413-421.
[8]姜　雷，盛敏峰，张　燚，等. 硬膜下岩前入路相关骨性结构的改良定位方法[J]. 中华实验外科杂志，2019，36（8）：1452-1454.
[9]Shin M, Hasegawa H, Miyawaki S, et al. Endoscopic trans-mastoid posterior petrosal approach for locally aggressive tumors in the petrous part of the temporal bone involving the internal auditory canal, jugular foramen, and hypoglossal canal [J]. J Neurosurg, 2019. doi: 10.3171/2019.5.JNS19187. Online ahead of print.

相似文献/References:

[1]苗宏生　赵耀东　薛亚军　韩　骢　兰　津　楼美清.岩斜区脑膜瘤的显微手术入路选择和手术技巧（附23例报道）[J].中国临床神经外科杂志,2019,(01):22.[doi:10.13798/j.issn.1009-153X.2019.01.006]
　MIAO Hong-sheng,ZHAO Yao-dong,XUE Ya-jun,et al.Microsurgical approach selection and surgical techniques of petroclival meningioma (report of 23 cases)[J].,2019,(04):22.[doi:10.13798/j.issn.1009-153X.2019.01.006]
[2]高宝成　张永发　太　柏　欧阳劲松　周　帅　赵建华　胡　双.基于影像学分型的个体化手术治疗岩斜区脑膜瘤[J].中国临床神经外科杂志,2020,(04):193.[doi:10.13798/j.issn.1009-153X.2020.04.001]
　GAO Bao-cheng,ZHANG Yong-fa,TAI Bai,et al.Individualized microsurgical treatment based on MRI classification for petroclival meningiomas[J].,2020,(04):193.[doi:10.13798/j.issn.1009-153X.2020.04.001]
[3]廖晓斌　刘子彪　吕志成等.显微手术治疗岩斜区脑膜瘤53例[J].中国临床神经外科杂志,2021,26(02):126.[doi:10.13798/j.issn.1009-153X.2021.02.021]
[4]林亚洲,郭付有.Kawase入路手术切除岩斜区脑膜瘤的疗效分析[J].中国临床神经外科杂志,2022,27(09):730.[doi:10.13798/j.issn.1009-153X.2022.09.003]
　LIN Ya-zhou,GUO Fu-you.Outcomes of microsurgical resection through Kawase approach for petroclival meningiomas[J].,2022,27(04):730.[doi:10.13798/j.issn.1009-153X.2022.09.003]
[5]董博凯,王壮壮,刘彦廷,等.以三叉神经痛起病的小型岩斜区脑膜瘤的手术分析（附18例报道）[J].中国临床神经外科杂志,2023,28(05):314.[doi:10.13798/j.issn.1009-153X.2023.05.007]
　DONG Bo-kai,WANG Zhuang-zhuang,LIU Yan-ting,et al.Outcomes of microsurgical removal of small petroclival meningiomas with the onset of trigeminal neuralgia (report of 17 cases)[J].,2023,28(04):314.[doi:10.13798/j.issn.1009-153X.2023.05.007]

备注/Memo

备注/Memo:
（2023-02-21收稿，2023-04-04修回）
通讯作者：王　勇，E-mail：576591204@qq.com
更新日期/Last Update: 2022-04-30