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颞下窝肿瘤的外科治疗 被引量:11

Surgery of infratemporal fossa tumors
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摘要 目的 :探讨颞下窝肿瘤的手术进路及手术方法。方法 :根据肿瘤病变的性质及范围采用耳前上、耳后下、改良Ferguson Weber及下颌骨下 4种手术进路。 结果 :手术结果按Kaplan Meire生存率计算 ,其 2年生存率良性肿瘤为 10 0 % ,恶性肿瘤为 4 7.1%。结论 :应根据肿瘤部位、性质与相邻解剖关系选择合适的手术进路 ,以保证手术能安全。 Objective:To investigate the effects of surgical approach on tumor with advanced infratemporal fossa.Method: Four different kinds of surgical approaches were selected and used according to preoperative clinical and radiographic findings and its invading structures.Result: The survival rate according to Kaplan meire showed that the two years survival rate for benign tumor were 100%, but malignant tumor were 47.1 %.Conclusion: Surgery of the infratemporal fossa tumors appears to be safe and complete removal of the tumor invading lateral skull bone and its surrounding structures is necessary. The adjuvant chemotherpy and radiotherapy are worth while procedure for postoperative of malignant tumors.
出处 《临床耳鼻咽喉科杂志》 CSCD 北大核心 2002年第5期210-212,共3页 Journal of Clinical Otorhinolaryngology
关键词 手术进路 手术方法 治疗 颞下窝肿瘤 Infratemporal fossa Tumor Surgery operation
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参考文献4

  • 1钱永忠, 李培华, 谢康民. 颞下窝肿瘤切除术. 见:钱永忠, 樊忠, 李培华等主编. 耳鼻咽喉-头颅外科手术指南.北京:人民军医出版社, 2000. 176-182.
  • 2Ammirati M, Ma J, Cheatham M L, et al. The mani-bular swingtrascervical approach to the skull base:Anatomic study. J Neuro Surg, 1993, 78:673-681.
  • 3Browen J D, Jacob S L. Temporal approach for resection of juvenile nasopharyngeal angiofibromas. Laryngoscope, 2000, 110:1287-1293.
  • 4Garrau B L, Myers E N, Johnson J T. Management of tumors arising in parapharyngeal space. Laryngoscope,1990,100:583-589.

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