[1]刘雪松,刘文科,惠旭辉,等.基础远外侧入路手术治疗枕骨大孔腹侧病变[J].临床神经外科杂志,2020,17(03):264-272.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.005]
 LIU Xue-song,LIU Wen-ke,HUI Xu-hui,et al.Surgical treatment of ventral lesions of foramen magnum via basic far lateral approach[J].Journal of Clinical Neurosurgery,2020,17(03):264-272.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.005]
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基础远外侧入路手术治疗枕骨大孔腹侧病变()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年03期
页码:
264-272
栏目:
颅底肿瘤专题
出版日期:
2020-06-15

文章信息/Info

Title:
Surgical treatment of ventral lesions of foramen magnum via basic far lateral approach
文章编号:
202003005
作者:
刘雪松刘文科惠旭辉张跃康兰志刚徐建国杨翔
610041 成都,四川大学华西医院神经外科
Author(s):
LIU Xue-song LIU Wen-ke HUI Xu-hui et al.
Department of Neurosurgery, West China Hospital Sichuan University, Chengdu 610041, China
关键词:
枕骨大孔远外侧入路
Keywords:
foramen magnum far-lateral approach
分类号:
R739.41
DOI:
DOI:10.3969/j.issn.1672-7770.2020.03.005
文献标志码:
A
摘要:
目的探讨基础远外侧入路即髁后及部分经髁入路,在以枕骨大孔腹侧为中心的病变手术的使用范围、方法及效果。方法回顾性分析四川大学华西医院神经外科2016年4月—2019年10月,采用基础远外侧入路手术治疗的30例枕骨大孔腹侧病变患者的临床资料。结果本组30例患者中,脑膜瘤27例、神经鞘瘤2例、动脉瘤1例;肿瘤全切者28例,部分切除者1例(脑膜瘤),1例动脉瘤顺利夹闭。术后,3例患者出现后组颅神经功能障碍,其中2例患者术后3个月内恢复。1例患者出现肢体轻偏瘫,4例出现皮下积液,均经治疗后消失。无死亡病例。结论基础远外侧入路即髁后及部分经髁入路,是处理以枕骨大孔腹侧为中心病变的经典且安全有效的手术入路。
Abstract:
Objective To discuss the application of the far-lateral approach for the ventral and ventrolateral lesions in the foramen magnum. Methods The clinical data of 30 patients with ventral and ventrolateral lesions in the foramen magnum who underwent neurosurgery by far-lateral approach from April 2016 to October 2019 were analyzed retrospectively. Results Of the 30 patients, 27 were meningiomas, 2 schwannomas and 1 was aneurysm of vertebral artery. 28 tumors received total removal. One meningioma had subtotal resection. The vertebral artery aneurysm was clipped. Of 30 patients including 3 with postoperative subsequent cranial nerve dysfunction, 2 were recovered from cranial nerve dysfunction 3 months after the operation and 1 had permanent cranial nerve dysfunction. One patient had hemiparesis. 4 with postoperative scalp hydrops were cured before discharged. There was no death after the operation in all the patients. Conclusions The neurosurgery by far-lateral approach is a safe and effective method to remove the ventral and ventrolateral lesions in the foramen magnum. Individualized surgical procedures should be adopted according to the characteristics of each lesion.

相似文献/References:

[1]李西西,何科君,徐小平,等.枕下经颈-颈静脉突入路切除颈静脉孔肿瘤的临床研究[J].临床神经外科杂志,2020,17(03):254.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.003]
 LI Xi-xi,HE Ke-jun,XU Xiao-ping,et al.Clinical study on suboccipital transcervicojugular approach for jugular foramen tumors[J].Journal of Clinical Neurosurgery,2020,17(03):254.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.003]
[2]曹杰,缪星宇,师蔚.枕下远外侧入路骨性结构解剖学研究[J].临床神经外科杂志,2014,(01):15.

备注/Memo

备注/Memo:
作者简介:刘雪松,博士,副主任医师、副教授,华西医院神经外科后颅底亚专业医疗组。主要从事脑肿瘤(胶质瘤、脑膜瘤、神经鞘瘤、转移瘤),颅脑外伤(脑挫伤、脑出血、颅?折、颅骨缺损),颅脑功能性疾病(三叉神经痛、面肌痉挛、脑积水),颅神经功能疾病(面瘫、面部连带运动) 等神经外科疾病的治疗。担任美国神经外科医师协会国际委员(AANS) ,美国神经外科医学会国际委员(CNS) ,中国医促会循证医学会委员,中国抗癌协会神经肿瘤学会委员,中国医师协会神经修复学会委员等。
更新日期/Last Update: 2020-06-17