经腮腺入路方法在儿童颅底巨大横纹肌肉瘤手术治疗中的应用  

Application of Trans-Parotid Approach in the Surgery of Giant Rhabdomyosarcoma Involving Children's Skull Base

作　　者：梁秀妮 吴平安 关亚峰 邓意红 杨思懿 LIANG Xiu-ni;WU Ping-an;GUAN Ya-feng;DENG Yi-hong;YANG Si-yi(The University of Hong Kong Shenzhen Hospital,Guangdong Shenzhen 518000)

机构地区：[1]香港大学深圳医院,广东深圳518000

出　　处：《深圳中西医结合杂志》2018年第17期76-78,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：深圳市卫生计生系统科研项目资助课题(201607027);深圳市科技计划项目资助课题(JCYJ20160429190356200)

摘　　要：目的:探讨经腮腺入路切除儿童颅底巨大横纹肌肉瘤(RMS)的手术方法和疗效。方法:对香港大学深圳医院2016年7月至2016年8月收治的2例采用经腮腺入路切除咽旁、颞下窝、中颅底肿物手术方式的患儿临床资料进行回顾性分析。结果:2例患儿均进行了咽旁、颞下窝、中颅底肿物切除手术,无围手术期死亡,无明显面部畸形,术后进食及吞咽功能正常。随访16个月,均无肿瘤复发。结论:经腮腺入路切除咽旁、颞下窝、中颅底肿物切除治疗儿童颅底巨大肉瘤,此手术入路简单易行,至病变路径短,可最大限度的保留正常结构,大大减少手术对外貌及功能的影响,中耳功能、听力不受影响。Objective To study the surgical skills and effects on trans-parotid approach in the surgery of giant rhabdomyosarcoma involving children＇s skull base. Method Two cases of trans-parotid approach to parapharyngeal, subtemporal fossa and middle skull base tumor with partial mandibulectomy were retrospectively analyzed. Results Two patients underwent resection of parapharyngeal, subtemporal fossa,middle skull base tumor with partial mandibulectomy, presented with normal eating and swallowing functions postoperatively, with no perioperative death,,nor obvious facial deformity. After 16 months of followup, no tumor recurred. Conclusions For the giant sarcoma involving the skull base in children, resection of parapharyngeal, infratemporal fossa and middle skull base mass via trans-parotid approach with partial mandibulectomy is direct and practical. It can keep the important structures to the maximum and reduce the complications on patients＇ appearances and functions,with no damage to the middle ear and hearing.

关 键 词：横纹肌肉瘤 颅底肿瘤 儿童 颅底外科手术 

分 类 号：R651[医药卫生—外科学]