张大建 高永中 杨树源 浦佩玉 杨卫东 刘春祥 300052 天津医科大学总医院脑外科 中华神经外科杂志 1998 0 14 3


    关键词：肿瘤；岩骨尖；斜坡；联合入路 期刊 zhsjwkzz 0 论 著 fur -->


    

摘要 目的：介绍21例岩骨尖上斜坡区良性肿瘤的显微外科治疗结果，就其手术入路进行讨论。方法：分析肿瘤的临床特点、神经放射学资料，选择相应的手术入路。结果：肿瘤经颞下天幕上入路切除8例，天幕上下联合入路切除7例，枕下入路切除6例。肿瘤全切率76.2%。术后死亡率4.8%。结论：根据肿瘤的性质、大小和部位，选择相应的手术入路是十分重要的。联合入路在巨大肿瘤的切除中最为常用。

Microsurgical treatment of benign tumors at the apical petrous and upper-clval regions Zhang Dajian, Gao Yongzhong, Yang Shuyuan, et al. Department of Neurosurgery, Tianjin Medical University General Hospital. Tanjin 300052

     Abstract Objective: To report the results of microsurgical treatment for 21 caseas of benign tumors at the apical petrous and upper-clival regions. Method: Clinical features and neuroradiological material of the patients were studied. The operative approaches were also disccused. Results: 8 tumors were removed via infratemporal and supratentorial approach, 7 tumors were treated through the combined supra and infratentorial approaches, and 6 lesions were excided using a lateral suboccipital cranitmy. In our series, the tumors which were totally removed accounted for 76.2 per cent. The post-opreative mortality was 4.8 per cent. Conclusion: To select an appropriate approach on the basis of the tumor's characteri, size and location. Combined supra-infratentorial approach was considered to be the main approach for large tumors.

     Key words Tumor Apical petrous Clivus Combined approach

自1989年5月至1995年8月共收治岩骨尖上斜坡区域(P-U)良性肿瘤21例 ......

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