| 双骨瓣成形在乙状窦前入路脑肿瘤切除术中的应用(附14例报告) |
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| 引用本文： | 周辉,施辉,李爱民,陈覃,江伟,陈军,王富元.双骨瓣成形在乙状窦前入路脑肿瘤切除术中的应用(附14例报告)[J].中国微创外科杂志,2008,8(4):364-367. |
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| 作者姓名： | 周辉 施辉 李爱民 陈覃 江伟 陈军 王富元 |
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| 作者单位： | 江苏省连云港市第一人民医院神经外科,连云港,222000 |
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| 摘 要： | 目的探讨经岩骨-乙状窦前入路切除岩斜区肿瘤双骨瓣成形的临床效果。方法对14例岩斜区肿瘤采用经岩骨-乙状窦前入路行肿瘤切除双骨瓣成形术,先取颞枕游离骨瓣(乙状窦后),再通过磨钻,游离出乳突表面骨瓣(乙状窦前)。保留骨性半规管、耳蜗的完整性,避免将乳突及岩骨根部大部分切除。结果肿瘤全切除8例,次全切除3例,部分切除3例。术后2例脑脊液耳漏,无皮下积液、颅内感染等并发症,无死亡。14例术后3、6个月随访,无并发症发生。结论经岩骨-乙状窦前入路手术中采用双骨瓣成形术后脑脊液漏、皮下积液、颅内感染等并发症少,手术创伤小,安全性高。
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| 关 键 词： | 双骨瓣成形术 乙状窦前入路 |
| 文章编号： | 1009-6604(2008)04-0364-04 |
| 修稿时间： | 2007年6月13日 |
Application of Double Flap Reconstruction to Craniectomy through Transpetrosal-presigmoid Approach for Petroclival Tumor: Report of 14 Cases |
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| Institution: | Zhou Hui; Shi Hui; Li Aimin; et al.Department of Neurosurgery; First People s Hospital of Lianyungang; Lianyungang 222000; China; |
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| Abstract: | Objective To evaluate the efficacy of double flap reconstruction after craniectomy through transpetrosal-presigmoid approach in the treatment of petroclival tumor.Methods A total of patients with petroclival tumor were enrolled in this study.Craniectomy was performed on them through the transpetrosal-presigmoid approach,and then double flap reconstruction was carried out.After the temporo-occipotal free osseous flap(retrosigmoid flap)was obtained,the superficial flap of the mastoid process(presigmoid flap)w... |
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| Keywords: | Double flap reconstruction Transpetrosal-presigmoid approach |
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