乙状窦后入路无血快速开颅技术单中心标准化操作流程  

Standardized operation procedure of bloodless rapid craniotomy via the retrosigmoid approach

作　　者：马翔宇[1] 刘士宝 李卫国[1] 徐淑军[1] 李新钢[1] 张磊 MA Xiangyu;LIU Shibao;LI Weiguo;XU Shujun;LI Xingang;ZHANG Lei(Department of Neurosurgery,Qilu Hospital of Shandong University,Jinan 250012,Shandong,China;Second Department of Surgery,Hospital of Traditional Chinese Medicine of Lingcheng District of Dezhou City,Dezhou 253000,Shandong,China;Department of Immunology,Basic Medical College of Shandong University,Jinan 250012,Shandong,China)

机构地区：[1]山东大学齐鲁医院神经外科,山东济南250012 [2]德州市陵城区中医院外二科,山东德州253000 [3]山东大学基础医学院医学免疫学系,山东济南250012

出　　处：《山东大学学报（医学版）》2019年第9期104-108,共5页Journal of Shandong University:Health Sciences

基　　金：济南市临床医学科技创新计划(201805037);中国博士后基金(2018M642661)

摘　　要：乙状窦后入路是进入桥小脑角区的主要入路,适用于听神经瘤、岩骨背侧脑膜瘤、胆脂瘤等桥小脑角区病变的神经外科显微手术。临床常常遇到如何快速实施乙状窦后入路开颅,达到良好的术中显露、避免术中过多出血及静脉窦损伤、减少术后并发症的发生等问题的困扰。自2014年起实施乙状窦后入路无血快速开颅技术并于2015年初步制定并实践了该入路的标准化操作流程。乙状窦后入路无血快速开关颅技术快速、简单,出血量极少,术野干净整洁,可有效避免静脉窦损伤,极大地缩短手术时间,改良了乙状窦后入路开颅技术,其标准化操作流程的提出有助于该技术的推广。The retrosigmoid approach is the main approach to the cerebellopontine angle,which is suitable for microneurosurgery for acoustic neuroma,dorsal petrosal meningioma and cholesteatoma.What often perplexes surgeons is how to quickly carry out retrosigmoid craniotomy to achieve good intraoperative exposure,avoid excessive bleeding and venous sinus injury,reduce postoperative complications and other problems.The authors began to perform bloodless rapid craniotomy via the retrosigmoid approach in 2014,and established the standardized operation procedure in 2015.This technique is fast and simple,and able to provide clean and tidy view with little bleeding.In addition,it can effectively avoid venous sinus injury,and greatly shorten the operation time.The standardized operation procedure is helpful to the popularization of this modified retrosigmoid approach.

关 键 词：桥小脑角区 乙状窦后入路 无血快速开颅技术 标准化操作流程 

分 类 号：R651[医药卫生—外科学]