摘要
目的探讨海绵窦区三叉神经鞘瘤的手术入路及其治疗效果。方法回顾性分析经额颞颧-硬膜外入路切除7例海绵窦区三叉神经鞘瘤病人的临床资料、影像学表现及其术后疗效。结果肿瘤全切除7例,均经病理证实为三叉神经鞘瘤。术后出现不同程度面部感觉减退、咀嚼无力等三叉神经损伤症状。随访48~60个月,平均54个月,无肿瘤复发,7例病人恢复正常生活和工作。结论额颞颧-硬膜外入路适用于海绵窦区三叉神经鞘瘤,可保护周围重要神经、血管,具有损伤小、术后并发症少等手术特点。
Objective To explore the surgical approach and surgical outcomes of intracavernous trigeminal schwannoma(ITS).Methods Clinical data,imaging findings and surgical outcomes of 7 ITS patients via frontotemporal epidural approach were analyzed retrospectively.Results Total tumor resection was achieved in all the 7 patients,and the tumors were confirmed as ITS by pathology.Facial sensory loss to varying degree,chewing weakness and other symptoms of trigeminal nerve injury occurred after the operation.Seven patients were followed up for a mean period of 54 months,ranging from 48 to 60 months,no tumor recurred and all of them returned to normal life and work.Conclusion Tumor resection via frontotemporal epidural approach can protect the surrounding nerves and blood vessels,characterized by less damage,less postoperative complications and other surgical features,thus being suitable for ITS.
作者
杨军
辛志英
缪逸涛
赵刚
李蕴潜
洪新雨
Yang Jun Xin Zhiying Miu Yitao Zhao Gang Li Yunqian Hong Xinyu(Department of Oncology Neurosurgery, the First Hospital of Jilin University, Changchtm, Jilin 130021, China)
出处
《中国微侵袭神经外科杂志》
CAS
2017年第9期393-395,共3页
Chinese Journal of Minimally Invasive Neurosurgery
基金
吉林省科技厅项目(编号:20140311086YY)
关键词
神经鞘瘤
三叉神经
海绵窦
入路
经额颞颧-硬膜外
neurilemmoma
trigeminal neve
cavernous sinus
approach, frontotemporal epidural