改良翼点入路显微直视手术切除海绵窦肿瘤  

MICRONEUROSURGERY FOR REMOVAL OF CAVERNOUS SINUS TUMOR

作　　者：张剑宁[1] 章翔[1] 郭衍[1] 曹卫东[1] 李兵[1] 屈延[1] 甄海宁[1] 高大宽[1] 

机构地区：[1]第四军医大学西京医院

出　　处：《解放军医学杂志》2002年第7期571-572,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：为总结海绵窦肿瘤显微神经外科治疗的经验 ,作者对 1990年 1月～ 2 0 0 1年 6月收治的 2 6例海绵窦肿瘤病例进行了回顾性分析。手术均采用改良翼点入路 ,显微直视手术 ,其中 6例在神经导航辅助下进行。结果全切 19例 (73 1% ) ,部分切除 7例 (2 6 9% )。术后 14例 (5 3 8% )颅神经症状逐渐改善 ,6例 (2 3 1% )出现新的颅神经损害症状 ,无死亡。对部分切除的病人 ,术后加立体定向放射外科治疗。随访 8个月～ 12年 ,未见肿瘤复发。作者认为 ,熟悉海绵窦区的显微解剖并具备熟练的显微神经外科技术 ,可使该类手术取得良好效果。To sum up the experience of microneurosurgical treatment of cavernous sinus tumor, an retrospective analysis was made for 26 cases of cavernous sinus tumor admitted to our hospital from January, 1990 to June, 2001. All the patients received the modified microneurosurgical operation, and the operation was performed in 6 of them by the help of nerve guidance.The tumors were totally removed in 19 patients, and partially removed in the other 7 patients. No patient died, and cranial nerve injury was ameliorated in 14 cases, and some new cranial nerve injuries were found in 6 patients after operation. No recurrence or regrowth of tumor was found during the following up from 8 months to 12 years. It is crucial to master the microneurosurgical techniques for the reduction of operative complications.

关 键 词：海绵窦肿瘤 脑肿瘤 神经外科手术 显微外科 改良翼点入路 临床表现 手术方法 

分 类 号：R739.41[医药卫生—肿瘤]