岩骨前部切除在岩斜区脑膜瘤手术中的应用  

Application of anterior petrosectomy to surgical treatment of petroclival meningioma

作　　者：黄广龙[1] 张喜安[1] 漆松涛[1] 

机构地区：[1]南方医科大学南方医院神经外科,广东广州510515

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第2期88-91,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨岩骨前部切除入路在岩斜坡区脑膜瘤手术中的应用。方法通过对收治的46例岩斜坡区脑膜瘤患者采用联合岩骨前部切除入路的显微外科治疗方法进行分析,总结患者的影像学资料、临床表现、手术方案及手术疗效。结果该组患者肿瘤全切33例,次全切9例,大部分切除4例,术后原有症状和体征完全消失17例,症状较术前减轻10例,脑神经损害症状同术前6例;原有神经功能障碍加重或出现新神经功能障碍21例。结论岩骨前部切除可以获得对岩斜区良好的暴露,根据肿瘤累及范围选择不同的手术入路是手术成功的关键。Objective To discuss the role of anterior petrosectomy played in surgical treatment of petroclival meningioma. Methods Clinical data of 46 patients with petroclival meningioma receivingt microsurgery through skull base approach combined with anterior petrosectomy in our department from June 2009 to Oct 2013 were analyzed retrospectively. The data analyzed included data of imaging, clinical manifestations, surgical program, and therapeutic effect. Results Of all the 46 patients, total tumor removal was in 33, subtotal in 9, and partial in 4. After surgery and during follow-up period, the preoperative symptoms and signs got disappeared in 17 patients, relieved in 10. The cranial nerve deficits kept unchanged in 6 and new neurological deficits appeared in 21. Conclusion Anterior petrosectomy offers excellent exposure to petroclival region. Selection of an appropriate combined approach is the key to success in surgical treatment of petroclival meningioma.

关 键 词：岩斜区 脑膜瘤 岩骨前部 颞下入路 

分 类 号：R739.65[医药卫生—肿瘤]