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Choice of the surgical approach to petroclival tumor
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF SURGERY
- Issue:
- 2
- DOI:
- 10.3760/j.issn.0529-5815.2006.02.022
- Key Word:
- 显微外科手术;岩斜区肿瘤;手术入路
Abstract： 目的探讨岩斜区肿瘤的手术入路选择.对53例岩斜区肿瘤患者的手术治疗进行分析.方法患者采用颞底经天幕入路11例,枕下乙状窦后入路12例;(颧弓或眶颧)翼点入路12例;乙状窦前入路2例;颞底、乙状窦后幕上下联合入路7例;颞下前岩骨硬膜外入路7例;扩大的前颅底硬膜外入路2例.结果 32例(61%)患者肿瘤全切除,9例(17%)次全切除,12例(22%)大部切除.术后新发生颅神经功能障碍16例(30%),死亡2例(4%).结论枕下乙状窦后入路、颞底经天幕入路等岩斜区手术入路均可以在熟练的显微操作技术及神经导航、神经内镜下进行.主体生长于硬膜外的岩斜肿瘤适合于采用硬膜外入路手术切除.幕上下联合入路对巨大岩斜区肿瘤是理想的手术入路.
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