颈静脉孔区肿瘤的诊断与治疗

目的 探讨颈静脉孔区肿瘤的临床特点、诊断和治疗。方法 对22例颈静脉孔区肿瘤进行临床分析。22例均采用手术治疗，其中9例采用枕大孔区过错处侧入路；7例经CPA枕下入路；5例经颞下窝耳后入路；1例经后正中入路，结果 22例肿瘤中20例全切除，2例次全切除，其中神经鞘瘤13例（59.1%)，颈静脉球瘤4例（18.2%)，脑膜瘤3例（13.7%)，脊索瘤和转移癌各1例（4.5%)。死亡1例。结论 颈静脉孔区肿瘤以神经鞘瘤最多，其次为颈静脉球瘤的脑膜瘤，手术治疗效果良好。

Diagnosis and treatment of brain tumors in jugular foramen region

Objective To analyze the diagnosis and treatment of brain tumors in jugular foramen region. Methods 22 patients with brain tumor in jugular foramen region who had been diagnosed and treated from 1996 to 2000. Considerable literature was reviewed. Results Tumor imaging technique showed masses of different shapes in unilateral jugular foramen region. All of the 22 patients underwent operation via different approaches. Total removal of the tumor was achieved in 20 patients and subtotal removal in 2. Pathological examination confirmed the diagnosis of neurinoma in 13 patients, tumor of glomus jugulare in 4, meningioma in 3, chordoma in 1, and metastatic tumor in 1. Only one patient died after operation. The mortality rate was as low as 4.5%. Conclusion The most common tumors in jugular foramen region are neurinoma, tumor of glomus jugulare, and meningioma. Surgery is effective in treatment of brain tumor in jugular foramen region.