扩大颅中窝硬膜外入路手术治疗颅中窝底肿瘤  

Microsurgery through extended middle cranial fossa epidural approach for patients with middle cranial skull base tumor

作　　者：李侠 魏德胜[1] 雷军荣[1] 秦军[1] LI Xia;WEI De-sheng;LEI Jun-rong;QIN Jun(Department of Neurosurgery,Shiyan Taihe Hospital,Affiliated Hospital of Hubei University of Medicine,Shiyan 442000,China)

机构地区：[1]十堰市太和医院(湖北医药学院附属太和医院)神经外科,湖北442000

出　　处：《中国临床神经外科杂志》2022年第1期9-12,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨扩大颅中窝硬膜外入路手术切除颅中底肿瘤的效果。方法回顾性分析2019年1~11月采用扩大颅中窝硬膜外入路显微手术切除的7例颅中底肿瘤的临床资料。结果术后病理检查显示脑膜瘤4例,神经鞘瘤1例,胆脂瘤1例,脊索瘤1例。术后3 d复查颅脑MRI增强检查显示,肿瘤全切除6例,次全切除1例。术后无干眼、眼球运动障碍、面瘫、面部疼痛等并发症,围手术期无手术死亡、颈内动脉损伤、脑梗死、偏瘫、失语、脑脊液漏及再出血。术后随访半年,肿瘤全切除6例无复发,次全切除1例无进展。结论采用扩大颅中窝硬膜外入路手术切除中颅底肿瘤,肿瘤切除彻底,安全有效,临床效果满意。Objective To explore the clinical efficacy of microsurgery through extended middle cranial fossa epidural approach for the patients with middle cranial skull base tumor.Methods The clinical data of 7 patients with middle cranial skull base tumor who underwent microsurgery through extended middle cranial fossa epidural approach from January to November 2019 were analyzed retrospectively.Results Postoperative pathological examination showed 4 meningiomas,1 schwannoma,1 cholesteatoma,and 1 chordoma.Re-examination of MRI enhancement examination 3 days after operation showed that total tumor resection was achieved in 6 patients and subtotal in 1.There were no postoperative complications such as xerophthalmia,eye movement disorder,facial paralysis,facial pain,perioperative death,internal carotid artery injury,cerebral infarction,hemiplegia,aphasia,cerebrospinal fluid leakage and rebleeding.The follow-up(6 moths)showed that 6 patients with total tumor resection did not recur,and 1 with subtotal resection did not progress.Conclusions Microsurgery through extended middle cranial fossa epidural approach is a good method for the treatment of the patients with middle cranial skull base tumor,which has many advantages such as high rate of total tumor resection,safety and effectiveness.

关 键 词：颅中窝底肿瘤 扩大中颅窝硬膜外入路 显微手术 

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