摘要
目的 探讨经侧方入路切除斜坡肿瘤的治疗效果。方法 对 61例岩骨斜坡区肿瘤患者分别采用以下手术入路 :( 1)改良翼点入路 ;( 2 )颞枕经天幕、岩骨入路 ;( 3 )经岩骨乙状窦前幕上、下联合入路 ;( 4 )远外侧经髁入路。结果 61例岩骨 余坡区肿瘤 ,全切 5 4例( 88 5 % ) ,近全切除 6例 ,大部切除 1例 ,无手术死亡。61例中 ,其中有 3 7例患者术后得到了随访 ,结果满意。术后并发症以颅神经损伤为主 ,占 4 5 % ( 2 8/ 61) ,第Ⅲ、Ⅵ、Ⅴ、Ⅷ、Ⅸ、Ⅹ、Ⅻ颅神经损伤最多见。结论 侧方入路有利于全切肿瘤 ,但手术技术较复杂 ,术后潜在并发症高。
Objective To summarize the operation experience of resecting petroclival region tumors by lateral approaches Methods (1) Ameliorate pterion approach;(2) temporal occipital transtentorial transpetrous approach;(3) transpetrous combined with supratentorial and infratentorial presigmoid approach; (4) far lateral transcondylar approach were applied for 61 patients with petroclival region tumor. Results Of the 61 tumors studied, 54 were completely resected, 6 were nearly complete and 1 was subtotally resected. No patient died in this group, 37 patients were followed up, and all showed satisfying results 45% of the patients had CNs deficit, with III, VI, V, VIII, IX, X, XII nerve deficits most commonly seen. Conclusion Lateral approaches are recommended for total resection of petroclival region tumors HoVDever the operative techniques are complex and potential risks of morbidity exist
出处
《中华医学杂志》
CAS
CSCD
北大核心
1999年第12期894-896,共3页
National Medical Journal of China
