摘要
目的:探讨颅底肿瘤的手术方法。方法:本文报道14例颅底肿瘤的手术治疗效果,介绍了3种颅底肿瘤的手术方法,即:耳前“∩”形切口颞蝶进路、改良的颞下窝进路、上颌骨拆装术,并对各自的适应症及优越性进行了讨论。结果:14例颅底肿瘤,良性6例,恶性8例。6例良性肿瘤术后随诊1~7年,无复发;8例恶生肿瘤中,1例因年龄大,术后7个月死于心脏病,1例术后3年死于复发,1例术后4年带瘤生存,其余4例皆随诊2年以上,无复发。3种颅底手术方法,切口暴露充分,损伤小,术后面部无畸形,切口瘢痕隐蔽。结论:此3种颅底手术径路可用于颅底肿瘤的手术治疗。
Objective: To find out a desirable approach by which cranial base tumors can be resected more effectively. Methods: The results of operative treatment in 14 cases of cranial base turmors were reported. Among them,10 cases of cranial base tumors were thoroughly resected by pre-auricular temporal-sphenoidal approach,2 cases by modified Fisch operation and 2 by modified maxillotomy. Three kinds of operative approaches to cranial base were introduced, and the indications of the approaches were discussed respectively. The defects of cranial base or nasopharynx were reconstructed with the temporal muscles and their fasciae in the same operative field. Results: Of the 14 cases of tumors in cranial base,6 were benign and 8 were malignant. There was no relapse in the benign group during the follow-up from 1 to 7 years. In the malignant group,1 case died of cardiac disease 7 months after operation, 2 cases with recurrent cranial base tumors were found in the 4th year postoperatively, 1 died of recurrence, 1 lived with the tumor and the other 5 cases achieved good clinical results during more than two years follow-up. These approaches provided excellent exposure to the compartments of the skull base and limited injury to the normal tissues. The incision scar stayed hidden and beauty was not affected. Conclusion: The study shows that the above approaches offer some advantages in surgical treatment of cranial base tumors.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
1998年第2期72-75,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery