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海绵窦海绵状血管瘤的手术治疗
引用本文:许海洋,于莹,李美娜,张显峰,洪新雨,杨钟熙,赵刚.海绵窦海绵状血管瘤的手术治疗[J].中华神经外科杂志,2011,27(7).
作者姓名:许海洋  于莹  李美娜  张显峰  洪新雨  杨钟熙  赵刚
作者单位:吉林大学第一医院神经外科,长春,130021
摘    要:目的 探讨海绵窦海绵状血管瘤的治疗方法.方法 对我院2000年6月至2010年7月以来收治的13例海绵窦海绵状血管瘤的临床资料进行回顾性分析.结果 2例患者仅行开颅探查术,其余11例行手术切除,肿瘤均完全切除,无手术死亡病例,术后视力改善者3例,5例出现动眼神经麻痹,其中3例伴有外展神经麻痹,4例出现手术同侧面部麻木.结论 选择合适的手术方式可成功切除海绵窦海绵状血管瘤并减少神经损伤的并发症.
Abstract:
Objective To investigate the treatment of cavernous sinus hemangioma Method The clinical data of 13 cavernous sinus hemangioma patients from June 2000 to July 2010 were analyzed. Results Exploratory craniotomy was used for 2 patients,the tumor was totally removed in 11 patients. There was no postoperative death. There were 3 patients having improved eyesight. The postoperative complications included oculomotor nerve palsy in 5 patients including abducens nerve palsy in 3 patients, and facial paralysis of ipsilateral side in 4 patients. Conclusions Through reasonable approach,cavernous sinus hemangioma could be totally removed with low complication rate.

关 键 词:海绵窦  血管瘤  海绵状  中枢神经系统  外科手术

Surgical treatment of cavernous sinus hemangioma
XU Hai-yang,YU Ying,LI Mei-na,ZHANG Xianfeng,HONG Xin-yu,YANG Zhong-xi,ZHAO Gang.Surgical treatment of cavernous sinus hemangioma[J].Chinese Journal of Neurosurgery,2011,27(7).
Authors:XU Hai-yang  YU Ying  LI Mei-na  ZHANG Xianfeng  HONG Xin-yu  YANG Zhong-xi  ZHAO Gang
Abstract:Objective To investigate the treatment of cavernous sinus hemangioma Method The clinical data of 13 cavernous sinus hemangioma patients from June 2000 to July 2010 were analyzed. Results Exploratory craniotomy was used for 2 patients,the tumor was totally removed in 11 patients. There was no postoperative death. There were 3 patients having improved eyesight. The postoperative complications included oculomotor nerve palsy in 5 patients including abducens nerve palsy in 3 patients, and facial paralysis of ipsilateral side in 4 patients. Conclusions Through reasonable approach,cavernous sinus hemangioma could be totally removed with low complication rate.
Keywords:Cavernous sinus  Hemangioma  cavernous  central nervous system  Surgical procedures  operative
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