内镜经鼻入路切除侵及海绵窦的肿瘤  

Endoscopic trans - nose surgery of tumors invading cavernous sinus

作　　者：李储忠[1] 宗绪毅[2] 王新生[2] 桂松柏[2] 赵澎[2] 刘方军[3] 宋明[2] 张亚卓[1] 

机构地区：[1]首都医科大学北京市神经外科研究所,100050 [2]首都医科大学附属北京天坛医院神经外科 [3]北京三博脑科医院神经外科

出　　处：《中华神经外科杂志》2012年第3期218-221,共4页Chinese Journal of Neurosurgery

摘　　要：目的探讨内镜经鼻入路切除侵及海绵窦肿瘤的方法。方法回顾性分析本中心2011年1月至2011年8月收治的35例内镜经鼻腔-蝶窦、筛窦入路切除侵及海绵窦肿瘤的病例资料，其中垂体瘤24例，脊索瘤6例，脑膜瘤3例，鼻咽癌2例。结果无手术死亡病例，肿瘤全切20例（57．1％），次全切10例（28．6％），部分切除5例（14．3％）。所有病例均经3—9个月随访。结论内镜经鼻入路处理海绵窦肿瘤创伤小、恢复快，但对术者的要求很高，应严格掌握适应证。Objective To discuss the value and significance of the technique of using endoscopic trans- nose surgery to resect tumors invading cavernous sinus. Methods From January 2011 to August 2011,35 patients with tumors invading cavernous sinus who received endoscopic trans -nose surgery were analyzed. Results No patients was dead. Total, subtotal and partial resection were performed on 20, 10 and 5 patients respectively. After a follow -up of all patients for 3 -9 months, no severe complications occurred. Conclusions Using endoscopic trans - nose surgery to resect tumors invading cavernous sinus has some special advantages than traditional methods. The improved exposure of the operation area could reduce the risk of injury to the internal carotid artery and the surrounding cranial nerves, result in more complete tumor removal and allow rapid recovery of the patients with minimal postoperative discomfort.

关 键 词：神经内镜 经鼻入路 蝶窦 筛窦 海绵窦 肿瘤 

分 类 号：R739.41[医药卫生—肿瘤]