Le FortⅠ经上颌入路切除颅底肿瘤  

Le fort Ⅰ Transmaxillary Approach for Resection of Skull Base Tumors

作　　者：张晓彪[1] 刘宁 邢光前 尹林 张煜[1] 顾章瑜[3] 黄新生[4] 

机构地区：[1]复旦大学附属中山医院神经外科,上海200032 [2]南京医科大学第一附属医院颅底外科,南京210029 [3]复旦大学附属中山医院口腔颌面外科,上海200032 [4]复旦大学附属中山医院耳鼻咽喉科,上海200032

出　　处：《复旦学报（医学版）》2002年第4期287-289,共3页Fudan University Journal of Medical Sciences

基　　金：江苏省社会发展重点项目资助 (BS2 0 0 0 0 5 0 )

摘　　要：目的　介绍一种改良LeFortⅠ经上颌入路用于切除颅底中线区肿瘤。方法　使用LeFortⅠ经上颌入路和显微外科技术切除斜坡、鼻咽部和筛蝶窦广泛生长的 8例巨大颅底肿瘤。结果　 5例全切除 ,3例次全切除 ,临床症状得到改善 ,无严重并发症。结论　LeFortⅠ经上颌入路可以充分暴露和安全、有效地切除斜坡。Purpose: To introduce a modified Le Fort I transmaxillary approach for removing tumors at central cranial base. Methods: Eight patients with huge extensive central tumors such as clival region, nasopharynx, ethmoidal sinus and sphenoidal sinus were treated by the Le Fort I transmaxillary approach and microsurgery technique. Results: Total resection was achieved in 5 cases, and subtotal resection in 3 cases. Preoperative symptoms were improved in all patients, and no severe post-operative complication was produced. Conclusions: The Le Fort I transmaxillary approach may offer an extensive exposure and surgical approach for the tumors of the central cranial base.

关 键 词：LeFortI 经上颌入路 颅底肿瘤 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]