颅底沟通性肿瘤术后颅底重建  

Reconstruction of the cranial base after surgical treatment of skull base tumor

作　　者：李劲松[1] 史继新[1] 王汉东[1] 

机构地区：[1]南京军区南京总医院神经外科,江苏南京210002

出　　处：《医学研究生学报》2007年第12期1254-1256,共3页Journal of Medical Postgraduates

基　　金：江苏省自然科学基金资助项目(批准号:BK2007153);南京军区南京总医院科研基金资助项目(批准号:2004052)

摘　　要：目的:探讨颅底内外沟通性肿瘤术后颅底修复的方法。方法:回顾性研究31例患者颅内外沟通性肿瘤术后颅底修复方法,前颅底采用帽状腱膜和骨膜瓣,中颅底采用颞肌作为修补材料,对颅底进行水封性修复。结果:31例患者全部进行颅底修补,其中30例无手术修补相关性并发症,1例因切口脑脊液漏、颅内感染导致死亡。结论:颅底修复的理念应贯穿于手术前后,并注意术中细节的处理,用帽状腱膜和骨膜瓣、颞肌作为修补材料,可做到水封性修复。Objective：To study the surgical skills of reconstruction of the skull base after resection of skull base tumors. Methods ：Thirty-one cases of skull base reconstruction were studied. Galeo-pericrani- al flaps were used for anterior cranial base defects and tempero muscle flaps for the middle skull base respectively. Results：All the 31 patients with skull base tumors, underwent reconstruction of the skull base of whom, 30 experienced no complications, but 1 died of CSF leak. Conclusion ： Galeo-pericranial flaps and tempero muscle flaps are reliable materials for the reconstruction of the skull base.

关 键 词：颅底 肿瘤 手术 重建 

分 类 号：R739.91[医药卫生—肿瘤]