[1]李侠,魏德胜,雷军荣,等.扩大颅中窝硬膜外入路手术治疗颅中窝底肿瘤[J].中国临床神经外科杂志,2022,27(01):9-12.[doi:10.13798/j.issn.1009-153X.2022.01.004]
　LI Xia,WEI De-sheng,LEI Jun-rong,et al.Microsurgery through extended middle cranial fossa epidural approach for patients with middle cranial skull base tumor[J].,2022,27(01):9-12.[doi:10.13798/j.issn.1009-153X.2022.01.004]
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扩大颅中窝硬膜外入路手术治疗颅中窝底肿瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年01期
页码:
9-12
栏目:
论著
出版日期:
2022-01-15

文章信息/Info

Title:
Microsurgery through extended middle cranial fossa epidural approach for patients with middle cranial skull base tumor
文章编号:
1009-153X（2022）01-0009-04
作者:
李侠;  魏德胜;  雷军荣;  秦军
442000 湖北，十堰市太和医院（湖北医药学院附属太和医院）神经外科（李侠、魏德胜、雷军荣、秦军）
Author(s):
LI Xia;  WEI De-sheng;  LEI Jun-rong;  QIN Jun.
Department of Neurosurgery, Shiyan Taihe Hospital, Affiliated Hospital of Hubei University of Medicine, Shiyan 442000, China
关键词:
颅中窝底肿瘤; 扩大中颅窝硬膜外入路; 显微手术
Keywords:
Middle cranial skull base tumor;  Extended middle cranial fossa epidural approach;  Microsurgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2022.01.004
文献标志码:
A
摘要:
目的探讨扩大颅中窝硬膜外入路手术切除颅中底肿瘤的效果。方法回顾性分析2019年1~11月采用扩大颅中窝硬膜外入路显微手术切除的7例颅中底肿瘤的临床资料。结果术后病理检查显示脑膜瘤4例，神经鞘瘤1例，胆脂瘤1例，脊索瘤1例。术后3 d复查颅脑MRI增强检查显示，肿瘤全切除6例，次全切除1例。术后无干眼、眼球运动障碍、面瘫、面部疼痛等并发症，围手术期无手术死亡、颈内动脉损伤、脑梗死、偏瘫、失语、脑脊液漏及再出血。术后随访半年，肿瘤全切除6例无复发，次全切除1例无进展。结论采用扩大颅中窝硬膜外入路手术切除中颅底肿瘤，肿瘤切除彻底，安全有效，临床效果满意。
Abstract:
Objective To explore the clinical efficacy of microsurgery through extended middle cranial fossa epidural approach for the patients with middle cranial skull base tumor. Methods The clinical data of 7 patients with middle cranial skull base tumor who underwent microsurgery through extended middle cranial fossa epidural approach from January to November 2019 were analyzed retrospectively. Results Postoperative pathological examination showed 4 meningiomas, 1 schwannoma, 1 cholesteatoma, and 1 chordoma. Re-examination of MRI enhancement examination 3 days after operation showed that total tumor resection was achieved in 6 patients and subtotal in 1. There were no postoperative complications such as xerophthalmia, eye movement disorder, facial paralysis, facial pain, perioperative death, internal carotid artery injury, cerebral infarction, hemiplegia, aphasia, cerebrospinal fluid leakage and rebleeding. The follow-up (6 moths) showed that 6 patients with total tumor resection did not recur, and 1 with subtotal resection did not progress. Conclusions Microsurgery through extended middle cranial fossa epidural approach is a good method for the treatment of the patients with middle cranial skull base tumor, which has many advantages such as high rate of total tumor resection, safety and effectiveness.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：秦军，E-mail：qingjunxl@163.com
更新日期/Last Update: 2022-01-18