神经内镜辅助下颅面联合入路切除前颅底沟通性肿瘤  

Neuroendoscope-assisted Surgery for Extracranial-intracranial Tumors of Anterior Skull Bases

作　　者：王光辉[1] 吴宇平[1] 孙昌进[1] 吕杨成[1] 刘劲松[1] 马杰科[1] 朱江[1] 

机构地区：[1]四川省肿瘤医院头颈颅底神经外科,四川成都610041

出　　处：《中国临床神经外科杂志》2008年第5期264-265,268,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的总结在内镜辅助下前颅底沟通性肿瘤的手术切除方法。方法采用神经内镜辅助下颅面联合入路对15例鼻腔、鼻窦-颅沟通性肿瘤及4例鼻-眶-颅沟通性肿瘤行手术切除,对颅底缺损区同期行带蒂额肌帽状腱膜裂层颅骨瓣修复。结果19例肿瘤全切15例(78.9%),次全切除3例,部分切除1例,术后均未发生脑脊液漏和颅内感染。其中良性肿瘤4例,至今全部存活;恶性肿瘤15例,2年生存11例,3年生存8例,5年以上存活6例。结论采用神经内镜辅助下颅面联合入路,进行前颅底沟通性肿瘤切除,辅以带蒂额肌帽状腱膜裂层颅骨瓣修复颅底缺损区,肿瘤切除安全彻底、方便可靠,是一种较为理想的手术方法。Objective To investigate the curative effects of neuroendoscope-assisted surgery on extracranial-intracranial tumors of anterior skull base. Method Of 19 cases of the extracranial-intracranial tumors of anterior skull bases, 15 were cranionasal ones and 4 cranio-orbital-nasal ones. The neuroendoscope-assisted surgery through the combined craniofacial approach was performed in all the patients. The defect of anterior skull base was repaired by the compound flap consisting of pedicel frontal muscle galea and temporalis fascia. Results There were not the cerebrospinal fluid leakage and intracranital infection in all the patients. Of 19 patients,15 underwent total resection of the tumors, 3 subtotal and 1 part. Conclusion The neuroendoscope-assisted surgery through the combined craniofacial approach and the repair of the anterior skull base defect with the compound flap consisiting of pedicel frontal muscle galea and temporalis fascia are good methods to treat the extracranial-intracranial tumors of anterior skull bases.

关 键 词：神经内镜 前颅底 沟通性肿瘤 外科手术 

分 类 号：R739.41[医药卫生—肿瘤] R739.43[医药卫生—临床医学]