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桥小脑角脑膜瘤经枕下乙状窦后入路的显微外科手术治疗
引用本文:苟志勇,谭华,翟安林. 桥小脑角脑膜瘤经枕下乙状窦后入路的显微外科手术治疗[J]. 热带医学杂志, 2010, 10(3)
作者姓名:苟志勇  谭华  翟安林
作者单位:川北医学院附属第二医院神经外科,绵阳,621000
摘    要:
目的 探讨桥小脑角脑膜瘤经枕下乙状窦后入路行显微外科手术治疗的技巧.方法 回顾性分析我科2001年1月至2009年7月间诊治的16例桥小脑角脑膜瘤的临床资料.结果 本组肿瘤全切12例,近全切除4例.术后颅神经功能改善9例,症状无改善或加重者7例,术后出现脑脊液漏2例,后组颅神经损伤者2例,无死亡病例.结论 桥小脑角脑膜瘤可选择经枕下乙状窦后入路,术中注意对血管、神经和脑干的保护,提高切除肿瘤的技巧,预防和处理术后并发症,是保证手术疗效和术后生活质量的关键.

关 键 词:桥小脑角  脑膜瘤  枕下乙状窦后入路  显微手术

Microsurgery Treatment of Cerebellopontine Angle Meningiomas through Suboccipital Retrosigmoid Approach
GOU Zhi-yong,TAN Hua,ZHAI An-ling. Microsurgery Treatment of Cerebellopontine Angle Meningiomas through Suboccipital Retrosigmoid Approach[J]. Journal Of Tropical Medicine, 2010, 10(3)
Authors:GOU Zhi-yong  TAN Hua  ZHAI An-ling
Affiliation:GOU Zhi-yong,TAN Hua,ZHAI An-ling(Department of Neurosurgery,the Second Affiliated Hospital of Northern Sichuan Medical College,Mianyang 621000,China)
Abstract:
Objective To explore the skill of microsurgical treatment of cerebellopontine angle meningiomas through suboccipital retrosigmoid approach.Methods Clinical data from 16 cases of cerebellopontine angle meningiomas were retrospectively analyzed.Results 12 patients received total removal and 4 patients received subtotal removal.9 patients had an improved condition after the treatment.Unchanged or aggravated was noted in 7 cases,in which 2 cases had leakage of cerebrospinal fluid and 2 cases had injury of poste...
Keywords:cerebellopontine angle  meningiomas  suboccipital retrosigmoid approach  microsurgery  
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