内镜联合显微手术治疗大型颅鼻沟通瘤

目的：探讨内镜联合显微手术治疗大型颅鼻沟通瘤的微创治疗方法。方法：对9例大型颅鼻沟通瘤患者在扩大额下入路显微手术切除颅内肿瘤的基础上,联合应用神经内镜经前颅窝颅骨缺损或经鼻切除肿瘤的颅外部分,其中7例经鼻行肿瘤切除,并重建颅底。结果：所有肿瘤均全切除,无手术死亡和新增神经功能缺损、脑膜脑膨出、颅内感染等并发症。结论：内镜联合显微手术治疗大型颅鼻沟通瘤创伤小,对深部能提供良好的照明及视野,安全有效。

Endoscopy Combined with Microsurgery in Treatment of Large Cranial-nasal Tumor

Objective：To explore endoscopic combined microsurgery minimally invasive treatment methods for the treatment of large cranial-nasal tumors.Method：9 patients with large cranial-nasal tumors were treated the part tumors of intracranial by extend subfrontal approach,and the part tumors of extracranial were treated combined with endoscopic transnasal approach and trans skull defect approach,and skull base reconstruction.Result：All the tumors were totally removed.No serious operative complication,sush as desth,CSF leakage,intracranial infection or meningeal encephalocele were happened. Conclusion：Endoscopy combined with microsurgery treatment of large cranial nasal tumors wase a minimally invasive treatment methods. It can provide good lighting and perspective of deep,it is safe and effective.