23例海绵窦区肿瘤显微手术治疗临床分析

Clinical analysis of microsurgical treatment of 23 cases of cavernous sinus tumor

目的:探讨海绵窦区肿瘤的手术治疗和术后并发症。方法:回顾性分析郑州大学第一附属医院2009至2010年经手术治疗的海绵窦区肿瘤23例,其中男13例,女10例,年龄20～65岁,平均年龄(43.6±6.4)岁,病程3月～6 a。结果:所有手术均采用显微外科治疗,全切16例(69.6%),次全切7例(30.4%),效果良好,无死亡病例。术后新发颅神经损害7例(30.4%),其中动眼神经损害2例(8.7%),三叉神经损害2例(8.7%),外展神经损害3例(13.0%)。随访无肿瘤复发。结论:合理的治疗方案和良好的显微手术技能可明显提高肿瘤切除率,减少手术并发症。

Objective： To investigate the surgical treatment options and postoperative complications of cavernous sinus tumor. Methods： A retrospective analysis of 23 cases of cavernous sinus tumours operated at The First Affiliated Hospital of Zhengzhou University between 2009 and 2010 is presented.Patients were 13 male and 10 female of aged 20～65 years. Results： All cases were accepted for microsurgical resection of tumor in which 16 patients underwent total resection（69.6%） and 7 patients underwent subtotal resection（30.4%）.The result of treatment was good and no patient died.New-onset postoperative cranial nerve damage occurred in 7 cases（30.4%）,including oculomotor nerve damage in 2 cases（8.7%）,trigeminal nerve damage in 2 cases（8.7%）,and abducens nerve damage in 3 cases（13.0%）.No tumor recurrence was seen after follow up. Conclusion： A reasonable treatment options and good micro-surgical skills can significantly improve the prognosis and greatly reduce postoperative complications.