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幕下-小脑上入路切除松果体瘤的并发症
引用本文:熊南翔,赵洪洋,张光璞,张方成,赵甲山,朱贤立,李龄. 幕下-小脑上入路切除松果体瘤的并发症[J]. 中华神经外科疾病研究杂志, 2005, 4(6): 522-524
作者姓名:熊南翔  赵洪洋  张光璞  张方成  赵甲山  朱贤立  李龄
作者单位:1. 华中科技大学同济医学院附属协和医院神经外科,湖北,武汉,430022
2. 湖北省新华医院神经外科,湖北,武汉,430015
3. 华中科技大学同济医学院附属同济医院神经外科,湖北,武汉,430030
摘    要:目的探讨经幕下-小脑上入路(Krause's approach)切除松果体瘤的有关并发症.方法总结2个医院近10年来采用经幕下-小脑上入路切除松果体肿瘤病例共24例,归纳其术后出现的并发症.结果与手术有关的主要并发症有:颅内积气5例,硬膜下积液3例,Parinaud综合征3例,大脑后动脉损伤1例,术后脑膜脑室炎3例.结论幕下-小脑上入路手术的并发症较多,手术过程中对大脑各重要结构的保护是预防并发症的关键.

关 键 词:枕部经小脑幕入路  松果体  肿瘤  并发症
文章编号:1671-2897(2005)04-522-03
收稿时间:2004-11-08
修稿时间:2005-07-15

Complication in removal of pineal tumors by infratentorial supracerebellar approach
XIONG Nanxiang,ZHAO Hongyang,ZHANG Guangpu,ZHANG Fangcheng,ZHAO Jiashan,ZHU Xianli,LI Ling. Complication in removal of pineal tumors by infratentorial supracerebellar approach[J]. Chinese Journal of Neurosurgical Disease Research, 2005, 4(6): 522-524
Authors:XIONG Nanxiang  ZHAO Hongyang  ZHANG Guangpu  ZHANG Fangcheng  ZHAO Jiashan  ZHU Xianli  LI Ling
Abstract:Objective To explore complication in removal of pineal tumors by infratentorial supracerebellar approach (Krause's approach).Methods A total of 24 cases diagnosed as pineal tumor via Krause's approach in 2 hospitals in the past 10 years was summarized and their complications were also generalized. Results The complications were: pneumocephalus in 5 cases, subdura effusion in 6 cases, Parinaud's syndrome in 3 cases, injury of posterior cerebral artery in 1 case and meningoencephalitis in 3 cases .Conclusion There are a lot of complications via infratentorial supracerebellar approach. Protecting related structures is crucial for preventing postoperative complications.
Keywords:Infratentorial supracerebellar approach    Pineal    Tumor   Complication
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