摘要
1病例报告例1女,21岁,因突发晕倒致下颌部外伤2周,意外发现咽后占位于2007年12月23日入院。术前鼻窦MRI（图1a）示中颅底斜坡区团块状等T1长T2信号,增强后不均匀强化,位于两侧颈内动脉内,向前突入鼻咽及口咽。斜坡及寰椎前缘局部似与病灶相融合,其中骨皮质信号线中断,鞍区正常,相应蛛网膜受压。2008年1月2日全身麻醉下行内镜经鼻、口联合斜坡寰椎肿瘤切除术。鼻内镜下行咽后壁正中垂直切口,
The case 1 performanced submandibular trauma because of the faint Suddenly.There were no obvious abnormality in physical examination.CT result showed that the tumour located in the lower clivus,and the atlas was infringed.MRI imaging showed the tumour located in the both sides of the internal carotid artery,infringed clivus and atlas front,forwarded into the nasal cavity and oral cavity.The case 2 performanced the left nose stuffy and increased gradually,nasopharyngeal mirror showed the left nasal cavity filled with new life.CT showed the lesions located in the cranial fossa under the sella turcica and sphenoid bone,down into the sphenoid sinus and the nasopharyngeal cavity.MRI imaging showed the lesions located in the front of clivus.According to the CT and MRI imaging features before surgery,the two cases adopted endoscopic transsphenoidal approach,and the postoperative pathology were chordoma in the central line of the skull base.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第3期230-232,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
颅底
斜坡
脊索瘤
内镜外科手术
skull basel clivus
chordoma
endoscopic surgical procedures
