| 改良乙状窦前入路切除岩斜区肿瘤 |
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| 引用本文： | 贾桂军,吴震,张俊廷,张力伟,贾旺,肖新如,万伟庆,王忠诚.改良乙状窦前入路切除岩斜区肿瘤[J].中华神经外科杂志,2007,23(12):907-909. |
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| 作者姓名： | 贾桂军 吴震 张俊廷 张力伟 贾旺 肖新如 万伟庆 王忠诚 |
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| 作者单位： | 1. 首都医科大学附属北京天坛医院神经外科,100050
2. 首都医科大学北京市神经外科研究所,100050 |
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| 摘 要： | 目的介绍一种新的、改良的乙状窦前入路的开颅方法。方法对124例岩斜区肿瘤,通过颞枕小脑幕上下双骨瓣开颅、改良乙状窦前入路手术方式,探讨传统乙状窦前入路和改良乙状窦前入路的优缺点。结果124例改良乙状窦前入路,手术中无静脉窦破裂出血的发生,术后无颅骨缺损、局部积液的发生。手术操作安全、简便、易于掌握。结论改良乙状窦前入路在传统入路基础上,通过对开颅骨瓣的改良,避免了手术中静脉窦损伤、手术后颅骨达到完全解剖复位,不仅使局部美观,还有效地降低了术后并发症的发生。
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| 关 键 词： | 颅底肿瘤 外科手术 乙状窦 岩斜 |
| 收稿时间： | 2007-05-21 |
| 修稿时间： | 2007-10-25 |
A modified transpetrosal-presigmoid approach to petroclivus lesions |
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| JIA Gui-jun , WU Zhen , ZHANG Jun-ting,et al..A modified transpetrosal-presigmoid approach to petroclivus lesions[J].Chinese Journal of Neurosurgery,2007,23(12):907-909. |
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| Authors: | JIA Gui-jun WU Zhen ZHANG Jun-ting |
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| Institution: | Neurosurgical Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China |
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| Abstract: | Objective To introduce a modified manipulation of presigmoid sinus approach. Methods A series of 124 cases of petroclival tumors were treated with modified presigmoid approach of double bone flaps. Its advantage and disadvantage were evaluated with the traditional methods. Results In the modified approach, there was no rupture or bleeding of the sinus, no bone defect, and no subcutaneous collection. Conclusion The modified transpetrosal-presigmoid approach has several predominant advantages such as avoiding sinus injury, preventing bone defect, and decreasing postoperative complications significantly. |
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| Keywords: | Skull base neoplasms Surgical procedure operative Sigmoid sinus Petroclivus |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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