[1]刘翔宇,李伟,杭春华,等.眶颧入路切除前中颅窝底病变的临床分析[J].临床神经外科杂志,2018,15(06):424-427.[doi:10.3969/j.issn.1672-7770.2018.06.006]
 LIU Xiang-yu,LI Wei,HANG Chung-hua,et al.Clinical analysis of surgical treatment of anterior and middle cranial fossa lesions via modified orbitozygomatic approach[J].Journal of Clinical Neurosurgery,2018,15(06):424-427.[doi:10.3969/j.issn.1672-7770.2018.06.006]
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眶颧入路切除前中颅窝底病变的临床分析()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年06期
页码:
424-427
栏目:
论著
出版日期:
2018-12-15

文章信息/Info

Title:
Clinical analysis of surgical treatment of anterior and middle cranial fossa lesions via modified orbitozygomatic approach
作者:
刘翔宇李伟杭春华李劲松韦永祥张顶顶
210008 南京,南京大学医学院附属鼓楼医院神经外科
Author(s):
LIU Xiang-yuLI WeiHANG Chung-huaet al.
Department of Neurosurgery,Drum Tower Hospital Affiliated to Nanjing University,Nanjing 210008,China
关键词:
眶颧入路颅底显微外科手术骨瓣
Keywords:
orbitozygomatic approachmicrosurgeryskull basebone pieces
分类号:
R651.1
DOI:
10.3969/j.issn.1672-7770.2018.06.006
文献标志码:
A
摘要:
【摘要】目的探讨应用美国Barrow神经外科中心改良双瓣法眶颧入路治疗前中颅窝底肿瘤的显微外科手术策略。方法回顾性分析经眶颧入路显微切除的 12例前中颅窝底肿瘤患者的临床资料,对手术操作技巧及术后并发症等进行讨论。结果术后头颅MRI示蝶骨嵴脑膜瘤4例、海绵窦区海绵状血管瘤和三叉神经鞘瘤各1例、鞍旁高级别肉瘤1例及鞍区脑膜瘤1例,共8例完全切除;3例海绵窦区脑膜瘤和1例岩斜区脑膜瘤大部切除。结论改良眶颧入路,对颅前、中颅窝底肿瘤提供了最佳暴露。该入路手术步骤相对简便,并且硬膜外即可处理肿瘤基底,减少肿瘤血供;该入路可以较好地显露前中颅窝底区域,并有效保护病变毗邻重要结构。
Abstract:
Abstract:ObjectiveTo explore the microsurgical skills and strategies for the resection of anterior and middle cranial fossa lesions via modified Barrows orbitozygomatic approach.Methods The clinical data of 12 patients treated by modified orbitozygomatic approach were collected and analyzed retrospectively.Surgical approaches and postsurgical complications were discussed.Results Postsurgical MRI images showed total resection achieved in 4 cases of sphenoid ridge meningiomas,1 cavernous sinus hemangioma,1 trigeminal neurinoma,1 parasellar sarcoma and 1 sellar region meningioma.Partial resection was achieved in 3 case of cavernous sinus meningiomas and 1 case of petroclival meningioma.ConclusionsModified orbitozygomatic approach can expose the spheno-orbital region well.Epidural management of the tumor base reduces the tumor blood supply greatly.This approach can expose the anterior and middle cranial fossa regions satisfactorily and protect the important structures around the lesions.

相似文献/References:

[1]段兴浩,马辉,曹轲.颅面联合手术切除前颅底沟通肿瘤的疗效分析[J].临床神经外科杂志,2016,(01):13.

更新日期/Last Update: 1900-01-01