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枕大孔区肿瘤的显微外科治疗
引用本文:郭尔安,王小平,张俊廷. 枕大孔区肿瘤的显微外科治疗[J]. 中华神经外科杂志, 2006, 22(6): 355-357
作者姓名:郭尔安  王小平  张俊廷
作者单位:100050,首都医科大学附属北京天坛医院神经外科
摘    要:目的 探讨枕大孔区肿瘤显微外科治疗。方法 显微手术治疗枕大孔区肿瘤共22例,其中采用远外侧入路18例,枕下后正中入路4例。病理类型:脑膜瘤13例,神经鞘瘤6例,脊索瘤、脉络丛乳头状瘤、血管外膜细胞瘤各1例。结果 肿瘤全切除17例,次全切除5例,无手术死亡。术后症状全部缓解13例,明显好转9例。随访1.5-2年,其中无任何症状16例,遗有轻度颅神经功能障碍4例,生活自理1例,部分自理1例,本组患者无肿瘤复发。结论 采用显微外科技术可提高枕大孔区肿瘤的治疗效果。

关 键 词:枕大孔区肿瘤 显微外科治疗 手术入路
收稿时间:2005-05-12
修稿时间:2005-07-25

Microsurgical treatment of foramen magnum tumors
GUO Er-an,WANG Xiao-ping,ZHANG Jun-ting. Microsurgical treatment of foramen magnum tumors[J]. Chinese Journal of Neurosurgery, 2006, 22(6): 355-357
Authors:GUO Er-an  WANG Xiao-ping  ZHANG Jun-ting
Affiliation:Department of neurosurgery, Beijing tiantan hospital, Beijing 100050, China
Abstract:Objective To study microsurgical treatment of foramen magnum tumors. Methods 22 patients of foramen magnum tumor underwent microsurgical treatment. 18 with the far lateral approach and 4 with sub-occipital medline approach. Pathological types include 13 cases of meningioma, 6 of neurinoma, 1 of chordoma, 1 of choroid plexus papilloma, and 1 of hemangiopericytoma. Results 17 cases got total removal, 6 cases got partial removal. No dead case due to surgical treatment. All symptoms of 13 cases were relieved after operations. Follow up between one and half year and two years indicate 16 cases without any symptoms, 5 cases with very minor cranial nerve functional disturbance, 1 case can take care of life totally by himself and another one can partially. No tumor recurred in the 22 cases. Conclusions Microsurgical operation can effectively improve curative results of foramen magnum tumor.
Keywords:Tumour of the foramen magnum    Microsurgical treatment    Surgical approach
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