摘要
目的探讨前颅底沟通性肿瘤所致颅底缺损的外科修复方法。方法 63例患者均行术前CT检查定位诊断,其中内翻性乳头状瘤恶变8例,神经胶质瘤14例,低分化癌15例,嗅母细胞瘤17例,胚胎性横纹肌肉瘤9例。均采用颅面联合进路,其中带蒂额肌帽状腱膜裂层颅骨瓣修复43例,带蒂额肌帽状腱膜鈦网复合瓣修复20例。结果 63例患者肿瘤全切46例,次全切除10例,部分切除7例,无术中死亡病例。63恶性沟通性肿瘤随访57例,术后1年存活55例,术后2年存活46例,术后3年38例。结论前颅底沟通性肿瘤分别采用带蒂额肌帽状腱膜裂层颅骨瓣、带蒂额肌帽状腱膜鈦网复合瓣修复颅底缺损,效果满意,值得临床推广。
Objective To investigate the effect of surgical repairment on patients with skull base communicating tumor. Methods We retrospectively analyzed the data from 63 patients with skull base communicating tumors. All of the patients re- ceived surgical treatment. The pathological results showed 63 cases of malignant tumors. Sixty-three patients underwent combined craniofacial approach. Results Total tumor removal was achieved in 46 cases. Subtotal removal was achieved in 10 cases, and partial removal was achieved in 7 cases. There was no death cases among 63 patients. 55 patients were survival after 1year, and 46 patients were survival after 2 years. 38 patients were still survival after 3 years. Conclusion The chief surgery treatment for nasal communicating tumor is the combined craniofacial approach and titanium mesh, which clinic effect is satisfactory and worthy of ex-tending.
出处
《四川医学》
CAS
2015年第8期1113-1115,共3页
Sichuan Medical Journal
关键词
前颅底沟通性肿瘤
颅底缺损
外科修复
skull base communicating tumor
titanium
surgical repairment
