颅底中央区巨大表皮样囊肿显微外科治疗

Microsurgical treatment of giant epidermoid cysts in the central region of the skull base

目的:探讨颅底中央区巨大表皮样囊肿显微外科治疗的临床疗效。方法:回顾性分析显微外科手术治疗颅底中央区巨大表皮样囊肿36例的临床特点和手术体会。结果:36例颅底中央区巨大表皮样囊肿中,手术全切除32例,次全切除4例,颅神经损伤或症状加重13例,无手术死亡。结论:根据表皮样囊肿累及的部位,选择好手术入路和运用好显微外科技术可提高手术的全切率,降低并发症。

Objective To explore microsurgical treatment of giant epidermoid cysts in the central region of the skull base in 36 cases. Methods The clinic characteristics and the operation experience about the microsurgical treatment of giant epidermoid cysts in the central region of the skull base were retrospectively analyzed. Results In the 36 cases, 32 had total removal of the tumor, and the other 4 experienced subtotal removal. Thirteen presented nerve system damage or nerve damage aggravation, but there was no operative mortality. Conclusion According to the epidermoid cyst area, the ratio of total resection can be elevated and the complication can be lowered by suitable approach and microneurosurgical technique.