经鼻蝶入路神经内镜术后颅底修复方法  

Methods of skull base reconstruction after endoscopic surgery via transnasal approach

作　　者：曾福兵 刘西[1] 杨华东 ZENG Fu-bing;LIU Xi;YANG Hua-dong(Department of Neurosurgery,Pengzhou City Traditional Chinese Medicine Hospital,Pengzhou 611930,China)

机构地区：[1]彭州市中医医院神经外科,四川611930

出　　处：《中国临床神经外科杂志》2024年第7期434-436,441,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：随着神经内镜技术的发展,经鼻蝶入路神经内镜手术的适应证迅速扩大,包括颅底肿瘤、鞍外肿瘤。与传统的开颅手术相比,扩大经鼻蝶入路神经内镜手术(EEA)具有更好的肿瘤切除率和术后神经功能。然而,术后脑脊液(CSF)漏风险高,会导致危颅内感染,甚至危及病人的生命。术后颅底修复对减少CSF漏意义重大。目前,血管化鼻中隔皮瓣的使用显著降低了术后CSF漏的发生率。本文就近年来颅底重建方法的最新进展进行综述,为临床提供参考。With the development of neuroscope technology,the indications for endoscopic surgery through the transnasal approach have expanded rapidly,including extra-sellaRtumors and skull base tumors.Compared with traditional craniotomy,expanded endoscopic approach(EEA)has better tumor resection rate and postoperative neurological function.However,the risk of cerebrospinal fluid(CSF)leak after surgery is high,which can lead to dangerous intracranial infection and even endanger the patient's life.Postoperative skull base reconstruction is of great significance in reducing CSF leak.Currently,the use of vascularized nasal septal flaps has significantly reduced the incidence of postoperative CSF leak.This review summarizes the latest advances in skull base reconstruction methods,providing clinical references.

关 键 词：神经内镜手术 经鼻蝶入路 颅底重建 脑脊液漏 

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