海绵窦区肿瘤的手术治疗  

Microsurgery for treatment of tumors in cavernous sinus area

作　　者：官明[1] 陈锐[1] 刘亮[1] 陈礼刚 

机构地区：[1]泸州医学院附属医院神经外科,四川泸州646000

出　　处：《中国耳鼻咽喉颅底外科杂志》2005年第5期326-329,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨海绵窦区肿瘤的手术入路方式.方法总结1995年～2004年以来经显微手术治疗的海绵窦区肿瘤23例,其中海绵窦原发肿瘤7例;毗邻侵及海绵窦的肿瘤16例,后者包括侵袭性垂体腺瘤7例,脑膜瘤6例,神经纤维瘤3例.回顾其术前CT及MRI特征、手术方法.结果 23例海绵窦区肿瘤经显微手术治疗,全切8例,部分切除15例,效果良好,无死亡.结论海绵窦区手术是神经外科的难题,合适的手术入路和良好的显微手术技能是手术成功的关键.Objective To analyze the surgical approaches for treatment of tumors in cavernous sinus area. Methods Twenty-three cases of tumors in cavernous sinus area undertaken microsurgery during 1995 to 2004, including 7 cases of primary cavernous sinus tumors and 16 cases of invasive tumors from pituitary adenoma （7 cases）, mengingioma （6 cases） and neurofibroma （3 cases）, were retrospectively reviewed. The CT and MRI scans before surgery, operation procedures, and outcome and complications after operation were summarized. Results Eight cases had complete tumor resection, 15 cases had partial tumor resection. None of them died during or after operation. Conclusion Appropriate surgical approaches and skillful techniques are important determinant factors in the success of the surgery for treatment of cavernous sinus area tumors,

关 键 词：海绵窦肿瘤/外科学 显微外科 

分 类 号：R739.410.5[医药卫生—肿瘤]