颅底部颅内外沟通性肿瘤的手术治疗  

Surgical management of intra-and extracranial communicating tumor

作　　者：陈建[1] 倪兰春[1] 施炜[1] 沈剑虹[1] 蒋兵[2] 

机构地区：[1]南通大学附属医院神经外科,226001 [2]南通市肿瘤医院头颈外科

出　　处：《江苏医药》2010年第11期1244-1245,共2页Jiangsu Medical Journal

摘　　要：目的探讨颅底部颅内外沟通性肿瘤的分型、手术方法及注意事项。方法 35例颅底部颅内外沟通性肿瘤,按肿瘤沟通的途径及累及的范围将其分为单纯沟通型(颅眶沟通型、颅鼻沟通型、颅颈沟通型等)和广泛累及型。总结各型肿瘤的手术方式及疗效。结果本组病例无手术死亡。单纯沟通型肿瘤多能做到全切除,良性肿瘤预后均较好。广泛累及型手术较为复杂。随访最长6年,其中2例死于肿瘤复发转移。结论合理选择手术入路,术中强调重要结构的保护和颌面及颅底修复与重建,以及多科合作,有助于提高手术治疗颅内外沟通性肿瘤的效果。Objective To summarize the surgical management of intra-and extracranial communicating tumor.Methods A total of 35 patients with cranial communicating tumors was divided into simple type（including cranial-orbital type,cranial-nasal type,cranial-cervical type,etc.）and extensive type.The operative approach and efficiency of treatment were retrospectively analyzed.Results There was no death related to operation in this group.Tumors were removed totally in most simple type cases and the prognosis of benign ones was satisfactory.However,the operations of extensive type cases were comparatively complicated.During follow up as long as 6 years,two cases died from tumor recurrence and metastasis.Conclusion Reasonable operative approach,protection and restoration of important anatomic structures and cooperation of related departments are the important factors for improving outcomes of surgical treatment of intra-and extracranial communicating tumors.

关 键 词：颅内外沟通性肿瘤 手术入路 

分 类 号：R651[医药卫生—外科学]