颅内外沟通瘤的诊断与显微手术治疗  

The Diagnosis and Microsurgical Management of Intracranial and Extracranial Tumors

作　　者：费舟[1] 章翔[1] 郭庆东[1] 王占祥[1] 付洛安[1] 张志文[1] 张剑宁[1] 杨利孙[1] 

机构地区：[1]第四军医大学西京医院神经外科,西安710032

出　　处：《肿瘤防治研究》2000年第5期395-397,共3页Cancer Research on Prevention and Treatment

基　　金：国家自然科学基金!资助 (No .39970 75 2 )

摘　　要：目的　对 4 2例颅内外沟通瘤诊断与手术治疗进行回顾研究 ,以期进一步提高此类肿瘤的疗效。方法　全组男 31例 ,女 11例 ,年龄 11月～ 68岁 ( 32 2 )岁。颅眶肿瘤 14例 ,颅鼻沟通瘤 6例 ,颅外部分位于颞下凹者 8例 ,位于蝶窦者 2例 ,另有颈静脉孔区肿瘤 8例 ,枕骨大孔区 4例。全部病人均行CT或MRI检查 ,35例行术前颈外供瘤血管检塞术。采用显微外科技术与不同手术入路切除肿瘤。结果　手术全切者 2 8例 ,大部切除者 14例 ,手术无死亡。随访 7月～ 7年 ,2 4例完全恢复健康 ,8例生活需要照顾 ,5例有不同程度恢复。结论　颅内外沟通肿瘤症状多样 ,易误诊误治 ,需提高警惕 ;采用多学科联合与显微外科技术分块切除肿瘤 ,可直接改善手术治疗的效果。A retrospective study has been made on 42 cases of tumors with intracranial and extracranial extension treated in our hospital between the year 1992 till now in order to increase the clinical outcome of theses diseases.Methods There are 31 males and 11 females with an age from 11 month to 69 years (mean 32 2 years) in this study.14 cases were tumors with intraorbital extension,6 with extension to paranasal sinuses;The extracranial prats of 8 cases were located in infratemporal fossa,2 in sphenoidal sinus and remaining located in neck.CT and MRI evaluation were made for all the patients.DSA was proceeded for 38cases but only 35 cases for embolization of intracranial and extracranial tumors.Microsurgiacl techniques and different approaches have been utilized to remove tumors.Results 28 cases had total removal and others subtotal resection.The postoperative morbidity is zero.7 month～7 years follow-up study showed that only 24 cases resume normal life and 8 cases with dependent life and 5 with recovery to some extent.Conclusion The symptoms of intracranial and extracranial tumors are different due to the location of the tumors,which often leads to false dagnosis and management.Microsurgical and piecemeal techniques as well as combined approaches from different department may result in improved clinical results.

关 键 词：颅内外沟通瘤 诊断 颅内肿瘤 显微外科手术 

分 类 号：R739.41[医药卫生—肿瘤] R730.56[医药卫生—临床医学]