| 经岩骨乙状窦前入路处理岩斜区肿瘤(附40例报告) |
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| 引用本文： | 王玉海,卢亦成,蔡学见,时忠华,王春莉,张建东.经岩骨乙状窦前入路处理岩斜区肿瘤(附40例报告)[J].中国微侵袭神经外科杂志,2005,10(10):444-446. |
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| 作者姓名： | 王玉海 卢亦成 蔡学见 时忠华 王春莉 张建东 |
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| 作者单位： | 1. 中国人民解放军第101医院神经外科,江苏,无锡,214044
2. 中国人民解放军第二军医大学附属长征医院神经外科,上海,200003 |
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| 摘 要： | 目的提高经岩骨乙状窦前入路处理岩斜区肿瘤的手术疗效.方法对采用经岩骨乙状窦前入路处理的40例岩斜区肿瘤病人的临床特征、手术方法、手术结果及术后并发症进行回顾性分析.以岩骨乙状窦交叉点和内淋巴囊裂作为磨除岩骨的定位标志,以减少岩骨内结构的损伤.结果肿瘤全切除27例,次全切除9例,部分切除4例.无手术死亡.术后主要并发症为脑神经损伤、脑组织水肿、肌力减退等.结论经岩骨乙状窦前入路是处理岩斜区肿瘤较好的手术方法.大多可全切除肿瘤.
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| 关 键 词： | 经岩骨乙状窦前入路 颞骨岩部 颅底肿瘤 显微外科手术 |
| 文章编号： | 1009-122X(2005)10-0444-03 |
| 收稿时间： | 07 18 2005 12:00AM |
| 修稿时间： | 09 7 2005 12:00AM |
Presigmoid petrosal approach for the treatment of petroclival tumors: report of 40 cases |
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| WANG Yuhai, LU Yicheng, CAI Xuejian, et al.Presigmoid petrosal approach for the treatment of petroclival tumors: report of 40 cases[J].Chinese Journal of Minimally Invasive Neurosurgery,2005,10(10):444-446. |
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| Authors: | WANG Yuhai LU Yicheng CAI Xuejian |
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| Institution: | WANG Yuhai, LU Yicheng, CAI Xuejian, et al( 1. Department of Neurosurgery, 101st Hospital ofPLA, Wuxi 214044, China; 2. Department of Neurosurgery, Changzheng Hospital Affiliated to Second Military Medical University of PLA, Shanghai 200003, China) |
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| Abstract: | Objective To improve the operative effect of presigmoid petrosal approach (PPA) for petroclival tumors. Methods The clinical features, operative methods, result of operation and postoperative complications of 40 cases of petroclival tumors resected via TPA were analyzed retrospectively. The presigmoid petrosal intersection and fissure for endolymphatic sac should be used as landmarks for drilling petrous bone to decrease injury to internal structure of the petrous bone. Results Total resection of the tumor was achieved in 27 cases, subtotal in 9, and partial in 4. No patient died. The main postoperative complications were injury to the cranial nerve, cerebral edema and decrease in muscle strength. Conclusion PPA is a preferable method for petroclival tumors, thus the tumors can be totally resected. |
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| Keywords: | transpetrosal presigmoid approach petrous bone skull base neoplasms microsurgery |
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