颅颈交界区肿瘤的显微外科治疗  

Microsurgery for the tumors of craniocervical junction (report of 27 cases)

作　　者：祝源[1] 赵洪洋[1] 朱贤立[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经外科,武汉430022

出　　处：《中国临床神经外科杂志》2011年第10期596-599,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨颅颈交界区肿瘤的显微手术技巧,以减少手术并发症和改善术后生存质量。方法回顾性分析2007~2010年经显微手术治疗的27例颅颈交界区肿瘤的临床资料,主要包括影像学表现、显微手术方法和随访结果。结果肿瘤全切除25例,次全切除2例,无死亡病例。术后25例患者症状改善,2例上肢肌力下降和声音嘶哑症状加重。术后随访1.5~2年,无任何症状,且恢复正常生活20例;轻度颅神经功能障碍3例,生活自理2例;部分自理2例。2例星形细胞瘤1年后复发。结论 MRI检查对颅颈交界区肿瘤的诊断及手术设计有重要的帮助;合适的手术入路和熟练显微外科技巧是获得良好疗效的保证。Objective To investigate the skills of microsurgery for the tumors of craniocervical junction and its curative effect. Method The clinical data of 27 patients with craniocervical junction tumors, who underwent the microsurgery from January, 2007 to August, 2010, were analyzed retrospectively, including clinical and imaging manifestatins, microsurgical method and follow-up outcomes. Results Of 27 patients with craniocervical junction tumors, 25 received the total resection of the tumors and 2 subtotal. The symptoms were improved in 25 patients and there was decrease in the muscular power of upper limbs and hoarseness worsened in 2 patients after the surgery. No patients died. Conclusions MRI is very helpful to the diagnosis and operative design of the craniocervical junction tumors. It is possible to gain ideal outcomes if the appropriate management is performed in the patients with craniocervical junction tumors.

关 键 词：颅颈交界区 肿瘤 显微外科手术 疗效 

分 类 号：R739.45[医药卫生—肿瘤] R651.2[医药卫生—临床医学]