锁孔入路显微手术切除颅底肿瘤  

Resection of skull base tumour through a keyhole approach

作　　者：万经海[1] 李长元[1] 李汉杰[1] 

机构地区：[1]安徽医科大学第一附属医院神经外科,合肥230022

出　　处：《安徽医科大学学报》2003年第5期377-380,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽省教育厅自然科学基金 (编号 :98JL0 74);安徽省卫生厅科研基金 (编号 :2 0 0 2A0 10 )资助课题

摘　　要：目的　探讨锁孔入路显微手术切除颅底肿瘤的手术技巧和适应证。方法　分别经眶上、翼点、眉间、颞下和枕下乙状窦后锁孔入路采用显微外科技术切除颅底肿瘤 18例 ,内窥镜辅助的显微外科技术切除颅底肿瘤 4例。结果　肿瘤全切除 13例 ,次全切除 6例 ,大部分切除 3例 ,无锁孔入路相关严重并发症和手术死亡。结论　锁孔入路显微手术切除颅底肿瘤具有创伤小、脑牵拉损伤轻、术后恢复快的优点 。Objective The objective of this paper is to i nv estigate operative techniques and indications for skull base tumour removal thro ugh keyhole approach. Methods Twenty-two cases of skull base tumour underwent microsurgery or endoscope-assisted microsurgery, through a key hole approach, via supraorbital, glabellar nasal, pterional, subtemporal and su boccibital retrosigmoidal entrance. Eighteen cases of skull base tumour was rem oved by microsurgery and 4 cases, by endoscope-assisted microsurgery. R esults The tumour was totally removed in 13 cases, sub totally removed in 6 and largely removed in 3. No serious complication related to keyhole surgery was fo und and there was no operative death. Conclusion Keyhole surger y may provide maximum efficiency to remove skull base tumour and minimum brain retractor injury and can be used for confined skull base tumours.

关 键 词：颅底肿瘤 锁孔入路显微手术 显微外科手术 CT MRI 

分 类 号：R739.41[医药卫生—肿瘤] R730.56[医药卫生—临床医学]