颅-眶-颧入路显微手术切除颅中窝底肿瘤  

The microsurgical operation of tumor in middle cranial fossa via TOZA

作　　者：王剑新 张新中 周文科 周国胜 王仲伟 史耀亭 Wang Jianxin, Zhang Xinzhong, Zhou Wenke, et al. （ Department of Neurosurgery. The First Affiliated Hospital of Xinxiang University, Weihui, 453100 ）

机构地区：新乡医学院第一附属医院,河南卫辉453100

出　　处：《中国保健》2007年第19期4-6,共3页Chinese Health Care

摘　　要：目的：探讨经颅-眶-颧入路显微手术治疗颅中窝底肿瘤的经验。方法：回顾性分析我科显微手术治疗的30例颅中窝底肿瘤的临床资料，重点分析总结经颅-眶-颧入路的优点、操作关键点及切除肿瘤的手术技巧。结果：本组30例全部采用颅-眶-颧入路，发现该入路可缩短手术操作距离，深部病变的观察角度明显扩大，降低了颅中窝底肿瘤的手术难度，术后亦未见明显的脑牵拉性伤，未发生额肌麻痹、眼球内陷、视力损害等并发症。结论：改善手术疗效的关键在于恰当的手术入路和精湛的显微外科技术。经颅-眶-颧入路显微手术治疗颅中窝底肿瘤，效果确切，值得推广。Objective： To explore the microsurglcal operative experiences of tumors in the middle cranial fossa via TOZA （ transcranial - orbital - zygomatic approach）, Methods ：The clinical data of 30 cases with tumors in the middle cranial fossa admitted into our department were retrospec- tively analyzed, mainly include the virtues and key techniques of TOZA, ads well as the skills applied during operiation on microsurglcal removing tumors. Results ：30 cases of tumors in the middle cranial fossa were excised via the TOZA, We experienced the significantly decreased operating distance and the widened viewing - angle when handing the deep seated lesions ,which has reduced the difficulty of microsurglcal operation at middie skul lbase. Postoperatively, there was no any brain retraction injury, no evidence of enophthalmos, paresis of the frontal muscle, as well as the damage to the visualacuity. Conclusion： The key points to improve operative effects are choosing correct operation approachs and making use of ex- cellent microsurglcal techniques. The TOZA is a better one in treatment of tumors in the middle cranial fossa,which shoud be populized.

关 键 词：颅中窝底 颅-眶-颧入路 肿瘤 显微手术 

分 类 号：R739.91[医药卫生—肿瘤;医药卫生—临床医学]