摘要
目的探讨52例颅底肿瘤的手术入路、手术方法及影响手术疗效的相关因素。方法回顾性分析1997年1月～2005年12月显微手术治疗颅底肿瘤52例,在诊断上,术前采用CT、3D-CTA、MRI、MRA和DSA,以了解肿瘤的部位、性质、大小和形状。在手术上采用颅底"个体化入路",以显露良好、不损伤及不切除正常脑组织为原则,提高手术疗效。结果术后恢复良好40例,有颅神经损伤9例,差3例,死亡1例。结论术前有必要进行详细影像学研究和选择合适的手术入路,以提高手术全切率及疗效。
Objective To study their surgical strategy, approaches as well as relative factors with the surgical outcome through 52 cases of skull base tumor. Methods A retrospective analysis of 52 patients with skull base tumor was performed from January 1997 to December 2005. Preoperative detailed imaging study was been used, including CT, 3DCTA, MRI, MRA and DSA, to understand location, character, size and shape of skull base tumor. The operative technique of improve was used including cranial base approaches as well as minimally invasive. Results Surgical outcome were good in 40 cases, cranial nerve deficits minimally in 9 case, poor in 3 cases, and 1 dead. Conclusion It is necessary to make preoperative detailed image and approaches study, and to help the surgeon plan how to manage the skull base tumor. It is very helpful to improve operative results since we used some operative techniques.
出处
《中国现代医药杂志》
2009年第8期43-45,共3页
Modern Medicine Journal of China
关键词
显微外科
颅底肿瘤
治疗
Microsurgery Kull base tumor Treatment
