枕下经颈-颈静脉突入路切除颈静脉孔肿瘤的临床研究  

Clinical study on suboccipital transcervicojugular approach for jugular foramen tumors

作　　者：李西西 何科君[1] 徐小平 夏昕 赵坤[1] 谢宝树 杨佳 杨李轩[1] 黄正松[1] 张弩[1] LI Xi-xi;HE Ke-jun;XU Xiao-ping(Department of Neurosurgery, The 1st Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China)

机构地区：[1]中山大学附属第一医院神经外科,广州510080 [2]宜宾市第二人民医院神经外科

出　　处：《临床神经外科杂志》2020年第3期254-258,共5页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金优秀青年基金(81822033);国家自然科学基金面上项目(81772683)。

摘　　要：目的探讨枕下经颈-颈静脉突入路切除颈静脉孔区肿瘤手术的疗效及并发症处理。方法回顾性分析中山大学附属第一医院神经外科2015年4月—2019年5月,行枕下经颈-颈静脉突入路手术治疗的13例颈静脉孔区肿瘤患者的临床资料。主要分析影像学检查、手术效果、术后并发症及其处理和预后。结果本组患者中,11例患者达到肿瘤全切除,2例患者次全切除。术后,7例患者症状缓解;3例患者出现脑脊液漏;5例患者出现后组颅神经麻痹症状加重,其中3例患者行气管切开;1例患者发生脑梗死。结论枕下经颈-颈静脉突入路是切除颈静脉孔区肿瘤的有效术式。Objective To explore the surgical efficacy and complication treatment of suboccipital transcervicojugular approach for jugular foramen tumors.Methods The clinical data of 13 patients who underwent suboccipital transcervicojugular approach for jugular foramen tumors from April 2015 to May 2019 in the 1st Affiliated Hospital of Sun Yat-sen University were analyzed retrospectively.The analyzation mainly comprised the image examination,surgical efficacy,post-op compliacations and treatment and the prognosis.Results Of 13 patients,the total resection was accomplished in 11 while subtotal resection in 2 and symptoms were relieved in.Postoperative CSF leakage occurred in 3 patients and cerebral infarction in 1.5 patients endured the aggravation of posterior cranial nerves palsy,3 of whom underwent tracheotomy.Conclusion Suboccipital transcervicojugular approach is an effective surgical approach for jugular foramen tumors.

关 键 词：枕下经颈-颈静脉突入路 颈静脉孔肿瘤 远外侧入路 

分 类 号：R739.41[医药卫生—肿瘤]