锁孔手术切除桥脑小脑角肿瘤  

Keyhole concept in microsurgery of CPA tumors

作　　者：王卫红[1] 万经海[1] 冯春国[1] 

机构地区：[1]安徽医科大学第一附属医院神经外科,合肥230022

出　　处：《安徽医学》2004年第6期446-447,共2页Anhui Medical Journal

基　　金：安徽省卫生厅科研基金资助课题 (编号 :2 0 0 2A0 1 0 )

摘　　要：目的　探讨锁孔手术理念在桥脑小脑角肿瘤手术中的应用价值。方法　经乙状窦后锁孔入路开颅 (切口长 6cm ,骨窗约 2 .5cm× 3 .0cm大小 )显微手术切除一侧桥脑小脑角肿瘤 3 6例 ,观察肿瘤显露和切除效果。结果　术中肿瘤显露满意 ,无 1例切除外侧小脑半球。显微镜下全切除肿瘤 11例 ,近全切除 2 0例 ,部分切除 5例。无手术死亡及严重并发症。结论　乙状窦后锁孔入路显微手术是治疗桥脑小脑角肿瘤的一种较理想的微创手术方式。Objective To present experience in keyhole microsurgery of CPA tumor.Methods Eleven patients with CPA tumor were treated micro surgically via a retrosigmoidal keyhole approach.The results were analyzed.Results Tumor was revealed very well through a keyhole approach,and complete removal of the tumor was achieved in 11 cases,subtotally removed in 20 and partially removed in 5.There was no operative death and serious complications.Conclusions It suggested that keyhole microsurgery may be a reasonable minimally way for CPA tumors.

关 键 词：锁孔手术切除 桥脑小脑角肿瘤 并发症 治疗 微创手术 

分 类 号：R739.4[医药卫生—肿瘤]