摘要
1975年1月～1994年12月收治16例海绵窦内肿瘤。年龄18～62岁,男6例,女10例。首发症状:复视、上睑下垂9例,眼球突出6例,面、头部疼痛3例,闭经及面部痛各1例。对海绵窦肿瘤做X线平片、CT,MRI及血管造影检查是必要的。全部病人均行手术治疗,笔者采用翼部或改良翼部入路和鼻蝶入路切除肿瘤,手术应特别仔细,不要损伤毗邻结构。大的海绵状血管瘤切除很困难。手术切除及临床有不同程度恢复者15例,1例术前发生脑疝,术后死亡。
From January 1979 to December 1994, 16 cases with tumor in cavernous sinus were treated, aged from 18 to 62 years. Among them 6 were male and ten were female. The first symptoms of 9 were diplopia and ptosis, 6 exophthalmos, 3 face-headache, 1 amenorrhage and face-plegia respectively. It was necessary to detect the cavernous sinus tumors with X-film, CT, MRI and angiogra-phy. All the patients were operated on. Two approaches were adopted, le. the pterional or modificatory pterional craniotomy and the nose-sphenoidal approach. Furthermore, the performance should be very gentle and atraumatic. It was often difficult to remove cavernous angioma especially when the tumor was large, 15 patients underwent successful operation and had clinical improvements, while one case died of herniation before operation.
出处
《天津医药》
CAS
1995年第4期204-207,共4页
Tianjin Medical Journal
