筛窦入路斜坡及鞍底巨大脊索瘤的颅底手术  

Resection of Giant Chordoma via the Transethmoidal Approach

作　　者：于振国[1] 娄飞云[1] 桂松柏[1] 

机构地区：[1]蚌埠医学院附属医院神经外科,安徽蚌埠233004

出　　处：《解剖与临床》2003年第1期27-28,共2页Anatomy and Clinics

基　　金：安徽省卫生厅医学科学研究基金 No 2002 A02

摘　　要：目的:探讨斜坡及鞍底巨大脊索瘤的手术治疗方法。方法:经筛窦入路手术治疗3例上斜坡肿瘤,其中1例复发性巨大斜坡肿瘤,累及鞍底、筛窦及整个鼻腔,经筛窦入路加左侧鼻旁侧切。结果:3例均达到镜下全切,1例术后第7天出现脑脊液漏,后重新修补,4周后痊愈出院。无长期脑脊液漏及颅内感染。结论:前额正中筛窦入路切除斜坡、鞍底肿瘤,符合解剖特点,显露充分,避免了颅底两侧血管神经的损伤,不造成脑组织损伤,肿瘤切除彻底,效果好。Objective:To discuss a transethmoidal surgical approach for chordomas involving the clivus and the sella turcica region . Methods: Three patients with giant chordoma involving anterior cranial fossa, middle cranial fossa and posterior cranial fossa, who were treated via transethmoidal surgical approach, were retrospectively studied. Results: All the tumors were totally removed microsurgically with this approach. No death or severe complications occurred. Conclusion: This approach is sufficient in the exposure of clivus and sella turcica region, less destructive,less time - consuming and easy to perform.

关 键 词：脊索瘤 筛窦入路 显微手术 

分 类 号：R739.4[医药卫生—肿瘤]