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侵犯颅内的鼻窦恶性肿瘤的外科治疗

Sufgicai treatment of paranasal sinus malignant tumors with intracranial extension

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【作者】 彭子成尚跃东白坤歧赵国庆陶振峰吴彦桥任光汤晓义李琦

【Author】 Peng Zicheng;Shang Yaodong; Bai Kunqi;Ahao Guoqing;Tao Zhenfeng,Wu Yanqiao; Ren Guang;Tang Xialyi;Li Qi [ the Department of Otolaryngology,Norman Bethune International Peace Hospital , Shi Jiazhuang 050082]

【机构】 中国人民解放军白求恩国际和平医院耳鼻咽喉科

【摘要】 对侵犯颅内的鼻窦恶性肿瘤10例,施行了根治性手术,用游离的阔筋膜和带蒂帽状腱膜颅骨膜重建被切除的颅底骨板和硬脑膜,颅底骨缺损直径达5~7cm也不需植骨,无1例并发脑脊液漏或出现脑、脑膜膨出,术后己健在4年者4例,2年后复发但仍带瘤生存4年余1例,另5例术后3个月至3年半局部复发或转移而死亡。

【Abstract】 Abstract Ten patients who suffered from paranasal sinus malignant tumors with intracranial extension had radical cxcision,The skull base bone and duta defect was reconstructed with free fascia lata and pedical galea pericranium, Bone graft was unnecessary when the diameter of bone defect as large as 5 7cm and neither patient had CSF leakage or menigoencephaloceles. Four of them(4/10) were alive for 4 years free of tumors , one of them(1/10) was alive for 4 years with tumor recurrence 2 years after operation and the other five died of tumor recurrence or metastasis in postoperative3 18 monthes.

  • 【分类号】R739.62
  • 【被引频次】4
  • 【下载频次】10
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