经额颞硬膜外入路显微手术切除海绵窦区肿瘤  

Transfrontotemporal extradural approach for microsurgery on cavernous sinus region tumors

作　　者：刘志雄[1] 刘运生[1] 袁贤瑞[1] 刘景平[1] 侯永宏[1] 丁锡平[1] 陈凌[1] 曹美鸿[1] 

机构地区：[1]中南大学湘雅医院神经外科,湖南长沙410008

出　　处：《中华神经外科疾病研究杂志》2002年第2期127-129,共3页Chinese Journal of Neurosurgical Disease Research

摘　　要：目的 报告经额颞硬膜外入路显微手术切除海绵窦区肿瘤的经验。方法 回顾性分析8例海绵窦区肿瘤的临床及影像学特征、手术方式、疗效和术后并发症。结果 肿瘤全切5例,次全切3例;术后原有颅神经症状的63.6％获得改善,27.3％同术前,9.1％较术前加重,无新的神经症状出现,无残疾及死亡病例。随访7例,时间20～23个月,无肿瘤复发。结论 采用经额颞硬膜外手术入路可较好地暴露和切除海绵窦区肿瘤,明显降低术后并发症和死亡率。Objective To report the experience in the transfrontotemporal extradural approach for microsurgery on 8 patients with tumors invading the cavernous sinus region. Methods The clinical materials including major clinical manifestations, preoperative CT and MRI features and operative techniques, and the outcomes of 8 patients with cavernous sinus tumors were retrospectively analysed. Results Total resection was achieved in 5 of the 8 patients and subtotal in 3 patients. Cranial nerve deficits were improved or remained unchanged by 90. 9% , and worsened postoperatively by 9. 1%. None of the patients had new cranial nerve deficits after the operation. There was no operative mortality or morbidity. Follow-up of 7 patients for 20-23 months revealed no tumor recurrence. Conclusion It is suggested that tumors invading the cavernous sinus region can be safely and radically removed by the transfrontotemporal extradural approach. And the familiarity with this approach can greatly reduce postoperative complications and mortality.

关 键 词：经额颞硬膜外入路 显微外科手术 海绵窦区肿瘤 脑肿瘤 临床表现 手术方法 

分 类 号：R739.41[医药卫生—肿瘤]