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乙状窦后-颌下入路治疗颈静脉孔区哑铃型神经鞘瘤
引用本文:唐景峰,杜贻庆,黄永旺,莫万彬,阳永东,夏学巍,唐乐剑,周晓坤,王文波. 乙状窦后-颌下入路治疗颈静脉孔区哑铃型神经鞘瘤[J]. 临床神经外科杂志, 2011, 8(5): 237-239. DOI: 10.3969/j.issn.1672-7770.2011.05.005
作者姓名:唐景峰  杜贻庆  黄永旺  莫万彬  阳永东  夏学巍  唐乐剑  周晓坤  王文波
作者单位:桂林医学院附属医院神经外科,541001
摘    要:目的 探讨颈静脉孔区哑铃型神经鞘瘤的临床特点、手术入路及治疗效果.方法 回顾性分析采用枕下乙状窦后-颌下联合入路显微切除5例颈静脉孔区哑铃型神经鞘瘤的临床资料、手术入路及术后随访情况.结果 术中证实,术后病理确诊颈静脉孔区哑铃型神经鞘瘤.5例肿瘤中,全切除4例,次全切除1例.术后患者临床症状均较术前明显改善.结论 经枕下乙状窦后-颌下联合入路能良好显露、安全切除颈静脉孔区哑铃型神经鞘瘤,手术治疗效果良好.

关 键 词:颈静脉孔  哑铃型神经鞘瘤  手术入路

Combined suboccipital retrosigmoid with submaxillary approach for dumb-bell shaped neurilemmoma in jugular foramen region
Affiliation:TANG Jing-feng ,DU Yi-qing ,HUANG Yong-wang , et al. Department of Neurosurgery, the Affiliated Hospital of Guilin Medical College, Guilin 451001, China
Abstract:Objective To investigate the clinical characteristics, surgical approaches and therapeutic effects of dumb-bell shaped neurilemmoma in jugular foramen region. Methods The clinical data, surgical approaches and therapeutic effects of 5 patients with dumb-bell shaped neurilemmoma in jugular foramen region that they treated by combined suboccipital retrosigmoid andsubmaxillary approach were analyed retrospectively. Results The dumb-bell shaped neurilemmoma in jugular foramen region of 5 patients were confirmed histologically in intraoperation and postoperation. 4 tumors were removed totally except 1 subtotally. The clinical symptom of all patients in postoperation were improved significantly than preoperation. Conclusion The combined suboccipital retrosigmoid and submaxillary approach can completely expose and safely remove the dumb-bell shaped neurilemmoma in jugular foramen region with satisfactory effects.
Keywords:jugular foramen dumb-bell shaped neurilemmoma surgical approach
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