神经内镜在前颅底沟通性肿瘤手术中的应用  

Neuroendoscope-assisted surgical treatment for anterior craniobasal communicating tumors

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

机构地区：[1]四川省肿瘤医院颅底颅脑科,四川成都610041

出　　处：《中国内镜杂志》2009年第11期1151-1153,共3页China Journal of Endoscopy

摘　　要：目的讨论神经内镜在前颅底沟通性肿瘤手术中的应用价值。方法采用经典的颅面联合进路结合神经内镜对20例鼻腔、鼻窦-颅沟通性肿瘤、鼻-眶-颅沟通性肿瘤进行切除,并同期行带蒂额肌帽状腱膜颅骨瓣修复前颅底缺损。结果20例术后均未发生严重并发症如脑脊液漏、颅内感染,肿瘤全切率75%,次全切除率20%,部分切除5%,良性肿瘤4例,至今全部存活;恶性肿瘤16例,2年生存11例,3年生存8例,5年以上存活6例。结论神经内镜能够有效地帮助颅面联合进路完整切除前颅底沟通性肿瘤,同时具备良好地照明,切除范围广,增加了手术的安全和彻底性,适合应用于前颅底沟通性肿瘤手术中。[Objective] To investigate the clinical effects of neuroendoscope-assisted surgery on anterior craniobasal communicating tumors. [Methods] A total of 20 cases with cranio-nasal or cranio-orbital-nasal communicating tumors underwent craniofacial combined approach surgery. The defect of anterior skull base was repaired with the compound flap of pedicle frontal muscle and galea aponeurotica or temporalis myofascial flap. [Results] All the 20 patients were successfully treated without CSF leak and cranial infection. Total resection rate of tumor was 75%, subtotal resection rate was 20%, and partial resection rate was 5%. The 4 patients with benign tumors are still alive. Of the 16 cases with malignant tumors, 11 lived for more than 2 years, 8 for more than 3 years, only 6 for more than 5 years. [ Conclusion] Neuroendoscope can help to resect anterior craniobasal communicating tumors totally and safely by its wide field of vision and its light in anterior craniobasal surgery.

关 键 词：神经内镜 前颅底 沟通性肿瘤 颅面联合入路 

分 类 号：R651.11[医药卫生—外科学]