经Dolenc入路显微手术切除海绵窦肿瘤  

Microsurgical treatment of cavernous sinus tumors through Dolenc approach

作　　者：郭孝龙[1] 吴进松[1] 程小兵[1] 赵勇刚[1] 

机构地区：[1]河南科技大学第一附属医院神经外科,洛阳471003

出　　处：《中国实用医刊》2008年第16期5-6,共2页Chinese Journal of Practical Medicine

摘　　要：目的探讨海绵窦肿瘤显微手术治疗效果。方法回顾性分析10例海绵窦肿瘤患者临床资料，其中海绵窦原发肿瘤4例，毗邻侵及海绵窦的肿瘤6例。采用Dolenc入路显微外科手术切除肿瘤，其中硬膜外入路6例，硬膜内入路4例。结果全切6例，次全切2例，部分切除2例，无死亡病例。肿瘤标本经病理学证实分别为脑膜瘤（3例）、神经鞘瘤（4例）、海绵状血管瘤（1例），垂体腺瘤（1例），畸胎瘤（1例）。结论海绵窦肿瘤术前影像学评估非常重要，根据肿瘤位置及侵袭方向，选择舍适的手术入路，是治疗海绵窦肿瘤的关键。Objective To probe the effectiveness of microsurgical treatment for cavernous sinus tumors. Methods Ten patients with cavernous sinus tumors（ including 4 cases of primary cavernous sinus tumors and 6 cases of invasive tumors） were analyzed retrospectively through Dolenc approach, 6 cases tumors by extradural access and 4 cases by intradural. Results Six tumors were removed totally ,2 tumors were removed subtotally and 2 tumors were removed partially. None of them died during or after operation. They were verified with pathological reports, including meningioma （ 3 cases）, neurofibroma （4 cases） , cavernous haemangiomas（ 1 case） ,pituitary adenoma（1 case） ,teratoma（1 case）. Conclusion The preoperative imageological evaluation of cavernous sinus tumors is significant. According to tumor position and attack direction, appropriate surgical approach is an important determinant factor in the success of the surgery for treatment of cavernous sinus tumors.

关 键 词：海绵窦肿瘤 显微外科 Dolenc入路 

分 类 号：R73[医药卫生—肿瘤]