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斜坡、岩尖斜坡区肿瘤的手术治疗(附11例报告)

Operative Treatment of the Tumor of Clivus andPetro-Clivus Region(a Report of 11 Cases)
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摘要 采用经乙状窦前迷路后幕上幕下联合入路的手术方法,连续切除斜坡、岩斜坡区肿瘤11例。5例岩斜坡区肿瘤呈哑铃型生长并累及到中颅窝底或海绵窦,选用经乙状窦前迷路后与颞下入路相结合的联合入路。,另6例肿瘤限于斜坡中线生长或同时伴有部分肿块经小脑幕裂孔向幕上延伸者,选用乙状窦前迷路后与颞后枕下入路相结合联合方式。11例中,肿瘤全切除9例(82%),次全切除2例(18%)。无手术死亡。 From April 1992 to April 1996, through the way of pre-sigmiod siuns, post labryinth, and combined superior and inferrior tentorial routes, authours excised 11 cases of tumor at clivus and petro-clivus region successively. The longest diameter of all the tumors were larger than 5 cm. In 5 cases, the tumors were dumbbell shaped and invoved the base of middle cranial fossa or caveruous sinus. The combination of pre-sigmoid sinus, post labryrinth and infra-temperal route was used. On other 6 cases, the tumors were only limited to the middle portion of the clivus or part of the tumor through the tetorial notch to supra-tentorial region. The above mentioned route and post-temperal and infra-occipital route were used. The micro-operative technique was used in all cases. Among the 11 cases, 9 were total removal(82%), 2 were subtotal removal(18%). No death and no severe compliccation were faund in all these cases.
出处 《暨南大学学报(自然科学与医学版)》 CAS CSCD 1996年第4期69-72,共4页 Journal of Jinan University(Natural Science & Medicine Edition)
关键词 颅底肿瘤 手术治疗 岩尖斜坡区肿瘤 斜坡区肿瘤 cranial base tumor clivus petro-clivus
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  • 1刘运生,河南医学院学报,1988年,13卷,150页 被引量:1
  • 2赵继宗,中华神经外科杂志,1983年,16卷,263页 被引量:1

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