摘要
目的：探讨颅底新手术入路的优缺点及注意事项。方法：对28例颅底病变分别行扩大颅底入路、经额颞眶颧弓入路、经岩骨幕上幕下联合入路手术。结果：全切除18例、次全切除7例、部分切除3例，严重并发症少，无1例死亡。随访5～29个月，无复发。结论：与传统的手术入路相比较，新手术入路具有显露广泛，到达颅底病变距离短，脑组织牵拉轻，有充分的手术操作空间，可同时切除侵及颅内外的肿瘤等优点。
Objective: To study the advantages, disadvantages and specialattention of the new skull base surgery. Methods: 28 cases with skull base lesions were operated by extended anterior subcranial approach, fronto-temporcr orbitozygomatic approach, combined supra and infratentorial transpetrosal approach,respectively. Results: Total removal was achieved in 18 cases, subtotal in 7 cases and partial in 3 cases. None had serious complications and no death occurred. Norecurrences have been seen to date in the follow-up peried, ranging from 5 to 29 months. Chnclusion: hapared with the traditional surgical approach, skull base surgical approach has the advantages of extensive exposure, short distance to skull base lesions, minimal retraction of brain, generous space of operation, and simultaneous resection of extra-and intracranial tumor.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
1998年第1期30-33,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
颅底
外科手术
入路
脑肿瘤
Skull base Surgery,operative Approach Brain neoplasms
