颅中窝底肿瘤的手术治疗  

DIAGNOSIS AND TREATMENT OF TUMORS IN MIDDLE CRANIAL FOSSA

作　　者：张锡增[1] 王如密[1] 刘峥[1] 王守森[1] 

机构地区：[1]福州总医院神经外科

出　　处：《福州总医院学报》2000年第2期10-11,共2页Journal of Fuzhou General Hospital

摘　　要：目的:探讨颅中窝底肿瘤的临床经验.方法:利用计算机体层摄影(CT)、磁共振成像(MRI)、脑血管造影(CAG)及X线平片等以确定肿瘤的部位、大小、形状、供血,明确其与周邻结构关系;选择恰当手术入路,采用直视下、显微下2种手术方法行肿瘤切除术.结果:直视手术组11例.其中肿瘤全切除9例,全切除率81.8%;显微手术组15组.肿瘤全切除14例.全切除率93.3%.2组无手术死亡.15例经6个月～6年随访,平均3.8年,肿瘤无复发.结论:采用显微手术能正确辨认肿瘤与周邻结构的关系,提高了肿瘤的全切除率.Objective: To explore the diagnosis and treatment methods for the tumours in the middle cranial fossa. Methods: CT, MRI, CAG and X - ray plain plate were performed to determine the tumors' location, size, shape, feeding vasculars and the relationship between the tumors and surrounding structures. Twenty - six cases of the tumors were resected via appropriate approaches with macrosurgical or microsurgical techniques. Results: Complete removal was achieved in 9 of 12 (81.8%) tumors resected by macroscopic surgery, and in 14 of 15 (93.3%) tumors by microsurgery, without surgical death. No recurrences were seen in 15 patients followed up at a mean period of 3.8 (0.5 ～ 6) years postoperatively. Conclusion: Under microscope the relationship between the tumor and its surrounding structure can be seen clearly in the operative field, then the total removal rate of tumor could be increased.

关 键 词：肿瘤 切除率 颅中窝 手术治疗 供血 计算机体层摄影 手术死亡 直视手术 直视下 X线平片 

分 类 号：R730.54[医药卫生—肿瘤] R816.7[医药卫生—临床医学]