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经岩骨乙状窦前入路治疗斜坡区肿瘤

Transpetrosal-presigmoid approach for removal of tumors in clival regions
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摘要 目的　介绍并讨论一种治疗斜坡区肿瘤的经岩骨后乙状窦前的手术入路。方法　对19例患者进行了该手术入路的手术治疗。结果　 15例患者肿瘤全部切除 ,4例患者行大部切除术 ;2例患者术后发生脑脊液漏 ; 2例发生偏瘫 ; 4例患者有同侧动眼神经麻痹 ;未发生死亡病例。结论　该手术的主要优点 :对小脑及颞叶牵拉较轻 ,斜坡区暴露良好。 Objective To describe and discuss a transpetrosal-presigmoid approach for removal of tumors in clival regions.Methods 19 patients have been operated on with transpetrosal-presigmoid approach.Results 15 tumors were totally removed and 4 were gross-partially resected.After operation,there were 2 cases present with CSF leak,2 cases with hemiplegia and 4 cases suffering from isolateral oculomotor paralysis.There were no operative death.Conclusion The advantages offered by this approach are that the cerebellum and temporal lobes are minimally retracted and surgical field obtained at clival regions.
作者 傅震 耿晓增 胡卫星 刘宁 鲁艾林 程刚 李立新
机构地区 南京医科大学第一附属医院
出处 《江苏医药》 CAS CSCD 北大核心 2003年第11期801-802,共2页 Jiangsu Medical Journal
关键词 斜坡区肿瘤 手术入路 岩骨 乙状窦 颅内压 肿瘤切除术 良性肿瘤 Approach Skull base Clival tumor
分类号 R739.41 [医药卫生—肿瘤] R730.56 [医药卫生—肿瘤]
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参考文献5

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二级参考文献10

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江苏医药
2003年 第11期

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