血管重建技术在复杂颅底肿瘤切除术中的应用  

Application of vascular reconstruction technique in resection of complex cranial base tumors

作　　者：冯桂栗 顾有明 卢建侃 林德留 李兴可 邓心情 樊雁峰 鲁明 FENG Gui-li;GU You-ming;LU Jian-kan;LIN De-liu;LI Xing-ke;DENG Xin-qing;FAN Yan-feng;LU Ming(Fifth Department of Neurosurgery,Guangdong Sanjiu Brain Hospital,Guangzhou 510510,China)

机构地区：[1]广东三九脑科医院神经外五科,广州510510

出　　处：《中国临床神经外科杂志》2021年第1期5-7,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨血管重建技术在复杂颅底肿瘤切除术中的应用效果。方法回顾性分析2017年7月至2020年1月显微手术治疗的7例复杂颅底肿瘤的临床资料,术中应用血管重建技术修复受累的重要血管。结果7例术中造影显示吻合血管通畅,术后MRI显示肿瘤及受累动脉全切除。出院时,KPS评分100分4例,80分2例(分别于术后2、5个月复发死亡),20分1例(术后并发脑梗死)。结论应用血管重建技术治疗复杂颅底肿瘤,可增加肿瘤切除范围,但对病人的预后影响,需进一步更多病例的临床研究。Objective To investigate the value of vascular reconstruction technique in the resection of complex skull base tumors.Methods The clinical data of 7 patients with complex skull base tumors underwent microsurgery from July 2017 to January 2020 were analyzed retrospectively.The vascular reconstruction technique was used to repair the important vessels which were injuried by the tumors.Results The introperative angiography showed patency of anastomotic vessels in 7 patients.The postoperative MRI showed total resection of tumor and involved artery in all the patients.On the discharge,4 patients had KPS score of 100,2 patients had KPS score of 80 who died 2 and 5 months after the surgery due to the recurrence of tumor,and 1 patient had KPS score of 20 who had postoperative cerebral infarction.Conclusion During the resection of complex skull base tumors,vascular reconstruction technique is helpful fo increasing the extent of tumor resection,but its effect on the patients'prognoses need to further study.

关 键 词：复杂颅底肿瘤 显微手术 血管重建技术 疗效 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]