| 岩斜区肿瘤的手术入路选择 |
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| 引用本文： | 陈立华,陈凌,张秋航,李明初,魏宇魁.岩斜区肿瘤的手术入路选择[J].中华神经外科疾病研究杂志,2011,10(4):306-310. |
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| 作者姓名： | 陈立华 陈凌 张秋航 李明初 魏宇魁 |
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| 作者单位： | 首都医科大学宣武医院神经外科,北京,100053 |
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| 摘 要： | 目的探讨岩斜区肿瘤的手术入路选择,以提高岩斜区肿瘤的手术疗效。方法回顾性分析2000年1月至2009年12月经显微外科技术切除的92例岩斜区肿瘤,比较手术入路对手术结果的影响。根据肿瘤的临床和影像学特征,将岩斜区肿瘤分为四型。Ⅰ型,采用颞下-经天幕入路;Ⅱ型,采用颞下-经岩骨嵴入路,另有3例巨大型蝶岩斜坡型脑膜瘤采用经岩入路(幕上幕下联合或乙状窦前入路);Ⅲa,采用枕下乙状窦后入路;Ⅲb,采用乙状窦后-内听道上入路;Ⅳ型,经鼻-蝶入路切除。结果肿瘤SimpsonⅠ～Ⅱ级全切除83例。次全切除9例,其中Ⅰ型1例,Ⅱ型5例,Ⅲb型1例,Ⅳ型2例。术后新增脑神经功能障碍16例(17.4%),肢体偏瘫2例;另有2例KPS评分为50分,这2例随访3个月后基本恢复至术前状态。无死亡病例。结论对于不同类型的岩斜区肿瘤,选择合适的手术入路有助于提高疗效,减少术后并发症。乙状窦后及其改良入路、颞下-经天幕及其改良入路是岩斜区重要的手术入路。而硬膜外岩斜区肿瘤适合于采用经蝶入路手术切除。
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| 关 键 词： | 岩斜区 肿瘤 显微外科 手术入路 |
Surgical approaches for the treatment of petroclival tumors |
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| CHEN Lihua,CHEN Ling,ZHANG Qiuhang,LI Mingchu,WEI Yukui.Surgical approaches for the treatment of petroclival tumors[J].Chinese Journal of Neurosurgical Disease Research,2011,10(4):306-310. |
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| Authors: | CHEN Lihua CHEN Ling ZHANG Qiuhang LI Mingchu WEI Yukui |
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| Institution: | CHEN Lihua,CHEN Ling,ZHANG Qiuhang,LI Mingchu,WEI Yukui Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China |
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| Abstract: | Objective To investigate the surgical approaches for the treatment of petroclvial tumors in order to improve the surgical effect.Methods The clinical data of 92 patients with the petroclival tumors,treated from January 2000 to December 2009,were analyzed retrospectively to compare the effect of different surgical approaches for pertroclival tumors.According to the clinical features and imaging characteristics,92 cases with petroclival tumors were divided into four groups: subtemporal transtentorial approach... |
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| Keywords: | Petroclival region Tumor Microneurosurgery Surgical approach |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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