显微外科手术治疗颅底大肿瘤临床价值探讨  

Clinical values of microsurgery in the treatment of large basicranial tumors

作　　者：刘之一[1] 徐宏[1] 韩杨云[1] 周增俊[1] 罗小强[1] 

机构地区：[1]四川省德阳市人民医院神经外科,四川德阳618000

出　　处：《实用医院临床杂志》2008年第4期63-64,共2页Practical Journal of Clinical Medicine

摘　　要：目的探索改良手术入路和显微外科手术技巧,以提高颅底大肿瘤的手术疗效。方法回顾性分析我科施行显微外科手术治疗的30例颅底大肿瘤患者的临床资料。结果30例颅底部肿瘤患者,19例全切除(63.3%),11例次全切除(36.6%)。随访23例,手术后恢复良好者19例,脑神经损害或症状加重者4例。死亡2例。结论选择合适的手术入路及手术策略可以改善手术显露,提高颅底大肿瘤全切除率,减少手术并发症,提高患者的生存质量。Objective To study the operation approaches and microsurgical technique for improving the therapeutic effect of basicranial tumors. Methods The clinical data of 27 patients with large basicranial tumors treated surgically during the period of July 2000-Sep. 2006 were retrospectively analyzed. Of these patients, the tumors located at sphenoid ridge in 11 cases, middle base of skull in 9 cases, sellar and petroclives region in 6 cases and anterior base of skull in 4 cases. The tumors size was 5-10cm. The patients were operated upon by different approaches. Results Of the 30 patients with basicranial tumors, total resection were performed in 19 patients（63.3% ） ,subtotal resection inll patients（36. 6% ）. Twenty- three patients were followed up. Postoperative good recovery was in documented 19 patients, nervous lesion or symptom exacerbation in 4 cases and death in one case. Conclusion An appropriate basicranial surgical approach and well-designed operation scheme will improve the operation exposure, raise the total resection rate and reduce surgical complication and mortality, and accordingly ameliorate patients＇ quality of life.

关 键 词：颅底脑肿瘤 显微外科手术 手术入路 

分 类 号：R739.41[医药卫生—肿瘤] R616.2[医药卫生—临床医学]