摘要
目的 探讨岩斜区肿瘤的显微手术入路与治疗效果.方法 回顾性分析48例巨大岩斜区肿瘤患者的临床及影像学特征、手术方法、手术结果、术后并发症等,结合文献加以分析讨论.结果 48例患者肿瘤全切除30例,次全切11例,大部分切除7例.无手术死亡病例.术后有46例患者随访4月～6年,除1例遗留永久性面瘫外,其他的颅神经障碍患者在3～6个月内均有不同程度的恢复.结论 娴熟的手术技巧、正确的手术入路和充分术前准备可以提高岩斜坡区肿瘤的切除率,减少并发症的发生,降低死亡率.
Objective To discuss the microsurgical treatment and outcome of tumors in the petroclival region. Methods A total of 48 patients with tumors in the petroclival region, had operation between Jan 2002 and Dec 2009, were chosen in the study; their data （their imaging, operation methods and complications） were retrospectively analyzed. Results Total resection of the tumors was achieved in 30 cases, subtotal resection in 11 and largely partial resection in 7. A 4-6-year follow up was performed on 46 patients; except 1 with permanent facial paralysis, the other patients got improvement to varying degrees. Conclusion Total resection rate of tumor in the petroclival region can be increased and complications and mortality can be decreased through full preparation of the operation, proper operation approaches and skillful manipulation of microneurosurgical technique.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2010年第9期913-915,共3页
Chinese Journal of Neuromedicine
关键词
脑肿瘤
显微外科手术
岩斜区
Brain neoplasms
Microsurgery
Petroclival region
