[1]虞晨,戴宇翔,倪红斌,等.经颞下锁孔入路切除岩尖部肿瘤手术的疗效分析[J].临床神经外科杂志,2020,17(03):298-305.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.012]
 YU Chen,DAI Yu-xiang,NI Hong-bin,et al.Subtemporal keyhole approach for petrous apex tumors[J].Journal of Clinical Neurosurgery,2020,17(03):298-305.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.012]
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经颞下锁孔入路切除岩尖部肿瘤手术的疗效分析()
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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:
298-305
栏目:
论著
出版日期:
2020-06-15

文章信息/Info

Title:
Subtemporal keyhole approach for petrous apex tumors
文章编号:
202003012
作者:
虞晨戴宇翔倪红斌张庆荣
210008 南京,南京大学医学院附属鼓楼医院神经外科
Author(s):
YU Chen DAI Yu-xiang NI Hong-bin et al.
Department of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
关键词:
锁孔入路颞下颅底肿瘤
Keywords:
keyhole approach subtemporal basicranial tumor
分类号:
R739.41
DOI:
DOI:10.3969/j.issn.1672-7770.2020.03.012
文献标志码:
A
摘要:
目的分析颞下锁孔入路切除岩尖部肿瘤手术的疗效及优点。方法回顾性分析2018年10月—2019年6月9例行经颞下锁孔入路岩尖部肿瘤切除手术患者的临床资料。结果9例患者中包括脑膜瘤5例、神经鞘瘤4例,肿瘤均做到全切除;术后影像学复查未见明显肿瘤残留。术后3例患者出现切口局部皮下积液,出院前恢复良好;所有患者均未出现明显的面瘫、眼球活动障碍、脑脊液漏、切口感染、癫痫、失语等并发症。患者术后随访2~10个月,未见明显肿瘤残留及症状复发。结论经颞下锁孔入路对于岩尖部肿瘤的切除能提供充分的暴露,在满足手术需要的同时,具有创伤小、术后恢复快、并发症少的优点。
Abstract:
Objective To summarize the methods and experiences of petrous apex tumors removal by subtemporal keyhole approach. Methods The clinical data of 9 patients underwent tumors resection through subtemporal keyhole approach from October 2018 to June 2019 were analyzed retrospectively. Results Total resection was done in all 9 patients including 5 meningioma and 4 schwannoma. Postoperative MRI showed no residual tumor in all cases. Subcutaneous hydrops occurred in 3 cases and were all recovered before discharge. Postoperative complications including facial palsy, eye movement disorder, cerebrospinal fluid leak, infection, aphasia or seizure were not found. All patients were followed up from 2 to 10 months and no recurrent case was found. Conclusion Subtemporal keyhole approach provides sufficient exposure for petrous apex tumors while has advantages of less injury, faster recovery and less complications.

相似文献/References:

[1]刘元钦,张荣伟,刘建民,等.眉弓上锁孔入路治疗鞍结节脑膜瘤[J].临床神经外科杂志,2016,(02):142.
 LIU Yuan-qin,ZHANG Rong-wei,LIU Jian-min,et al.Treatment of tuberculum sellae meningioma by supraorbital keyhole approach[J].Journal of Clinical Neurosurgery,2016,(03):142.

备注/Memo

备注/Memo:
作者简介:倪红斌,神经外科主任医师,副教授,医学博士,南京大学、南京医科大学、东南大学硕士生导师。南京鼓楼医院神经外科行政副主任,神经肿瘤病区主任。中国医师协会神经外科分会委员,江苏省中西医结合学会神经外科专业委员会委员,江苏省医学会神经外科分会肿瘤学组委员,江苏省医学会神经外科分会脊柱学组委员,江苏省医学会神经外科分会颅底肿瘤学组副组长,江苏省医疗鉴定专家库成员,南京市神经外科分会委员,《中华临床医师杂志》特邀编委。主要负责神经外科神经肿瘤疾病的治疗。曾赴丹麦哥本哈根大学访学,北京天坛医院进修学习。带领团队担负鼓楼医院神经外科神经肿瘤疾病诊治的主要任务,联合医院神经内科、肿瘤科、放射科、脊柱外科、内分泌科成立多学科诊疗中心,对颅内肿瘤及椎管肿瘤进行个体化、系统性的综合诊疗,如脑膜瘤、胶质细胞瘤、垂体瘤、听神经瘤及脊柱脊髓肿瘤等,同时将电生理监测、神经导航、内镜等技术应用到手术中,极大地确保手术的安全性,神经功能的保护,减少了后遗症及并发症的发生。团队年手术量>500台,个人擅长各类颅内肿瘤、椎管肿瘤等微创手术治疗,尤其是对复杂颅底肿瘤的手术有独到的经验;在听神经瘤手术中肿瘤全切率和面神经保留率均达到85%以上。已累计手术听神经瘤病人达200例。先后在国家级核心杂志发表论文40余篇,其中SCI收录13篇。主持江苏省自然科学基金面上项目、南京市卫生局、南京市科技局课题多项。获江苏省科技厅科技进步三等奖1项,江苏省新技术引进一等奖1项、二等奖2项,南京市科技局奖项若干。
更新日期/Last Update: 2020-06-17