侧颅底手术过程中脑及颅神经功能保护  

Functional Protection of Cranial Nerves and the Brain during Lateral Skull Base Surgery

作　　者：高志强[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院耳鼻喉科,北京100730

出　　处：《协和医学杂志》2017年第6期342-345,共4页Medical Journal of Peking Union Medical College Hospital

摘　　要：手术是绝大部分侧颅底病变的首选治疗方式。因侧颅底解剖结构复杂,毗邻脑及重要血管神经,手术容易致死或致残,限制了该部位手术的实施。脑、后组颅神经、面神经、听力功能是该部位手术保护的重点,恰当处理功能保留和切除病变的关系、良好的外科操作技能以及合理使用介入、导航等新的辅助技术是侧颅底手术中实现器官功能保护的关键。Surgery is the preferred treatment for most lateral skull base lesions. Due to the complexity of the anatomical structure of lateral skull base and its close adjacency to important blood vessels,cranial nerves and the brain,surgery prones to induce deadly or disabling complications,which limit the implementation of the surgery. Brain function,low cranial nerves,facial nerve and hearing are the priorities that should be taken care of during surgery. The key points for functional protection of organs include： a good balance between preservation of functions and resection of lesions,skillful surgical technique,and new instruments or equipment such as image navigation and interventional therapy.

关 键 词：侧颅底外科 脑 颅神经 颈内动脉 脑脊液 

分 类 号：R762[医药卫生—耳鼻咽喉科]