岩斜区肿瘤显微外科手术治疗43例体会

Experience of microsurgical treatment of petroclival tumors in 43 cases

目的通过对43例岩斜区肿瘤显微外科治疗的分析,探讨岩斜区肿瘤的显微外科手术治疗方法,提高岩斜区肿瘤的全切率,减少并发症,改善手术效果。方法总结43例岩斜区肿瘤的临床表现、神经影像学特征及显微手术方法和术后处理。结果肿瘤全切除28例,次全切除9例,大部切除6例,死亡2例。全切率为65.1%,手术并发症率为51.2%。结论采用颅底手术入路和显微外科手术技术可以提高岩斜区肿瘤的全切除率,降低死亡率及并发症,大多数病人能达到治愈目的。

Objective To explore microsurgical treatment of petroclival tumors by analyzing clinical data of 43 patients, for the purpose of increasing the total removal rate, decreasing operative complications and improving operative effects of petroclival tumors. Methods The clinical manifestations, neuro-imaging features, operative approaches and postoperative management in the 43 cases were comprehensively summarized and analyzed. Results Total resection was achieved in 28 cases, subtotal resection in 9 cases and partial resection in 6, but 2 patients died, with the total resection rate 65.1% and the rate of postoperative complications 51.2%. Conclusion The developed and modified approaches through the base of skull under microsurgical technique are able to enhance the total removal rate, lower the mortality and reduce the complications so that most patients can be cured.