内镜下经鼻腔入路治疗前颅底、翼腭窝和颞下窝肿瘤73例临床分析  

Endoscopic endonasal approach resection for anterior skull base,pterygopalatine fossa and infratemporal fossa tumors:retrospective analysis of 73 patients

作　　者：李娜[1] 于龙刚[1] 姜彦[1] 鞠建宝[1] 张念凯[1] 

机构地区：[1]青岛大学附属医院耳鼻咽喉头颈外科,青岛266003

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第20期1547-1549,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:总结内镜经鼻入路切除累及前颅底、翼腭窝、颞下窝占位性病变的临床经验。方法:对73例鼻颅底肿瘤患者采用经鼻内镜手术治疗。结果:54例肿瘤被完全切除;19例大部分切除。术后并发症发生率较低。良性肿瘤16例,术后生存率为100%;恶性肿瘤57例,死亡16例,半年生存率为71.9%。结论:内镜经鼻入路在切除鼻腔鼻窦病变的同时,能够充分显露和切除累及前颅底、翼腭窝和颞下窝的病变,手术创伤小,安全可行。Objective：To summarize the clinical experience with endoscopic transnasal resection of nasal skullbase neoplasms,which involved anterior skull base,pterygopalatine fossa,nfratemporal fossa.Method：Clinical data from 73 patients performed on endoscopic transnasal resection of nasal skull-base neoplasms were analyzed retrospectively.Result：Total tumor removal was obtained in 54 cases,subtotal removal in 19 cases.In 16 cases of benign tumor,the postoperative survival rate was 100%;Malignancy in 57 cases,of which 16 patients were died,and half-year survival rate was 71.9%.Conclusion：Endoscopic endonasal approach be able to fully reveal and removal of lesions involving the anterior skull base,pterygopalatine fossa and infratemporal fossa.The approach is feasible and safe.

关 键 词：颅底肿瘤 手术 内镜检查 

分 类 号：R739.91[医药卫生—肿瘤]