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岩尖斜坡区肿瘤的手术治疗(附23例报告)

Surgery of petroclival tumors(Report of 23 cases)

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【作者】 张建民詹仁雅陶祥洛甘海鹏刘伟国叶永根王宁吾太华

【Author】 Zhang Jianmin; et al(Department of Neurosurgery,the 2nd Affiliated Hospital,Zhejiang Medical Unuversity,Hangzhou,310009)

【机构】 浙江医科大学附属第二医院神经外科

【摘要】 本文报告岩尖斜坡区肿瘤23例。按肿瘤主体所在部位分为岩尖型(8例)、斜坡型(5例)和岩斜型(10例)。手术入路:枕下开颅7例,颞下开颅11例,经口-蝶-斜坡入路1例,颞枕-枕下联合开颅4例。绝大部分病例在显微手术下进行肿瘤切除。全切6例,次全切8例,大部切除7例,部分切除2例。手术死亡2例。平均随访3年,计11例,效果满意。还对岩尖斜坡区肿瘤的不同手术入路、手术操作注意事项及术前供血动脉栓塞等进行了讨论。

【Abstract】 Twenty-Three cases of petroclival tumors were reported. The tumors were classified into 3 types: the petral, clival and petro-clival type with 8,5 and 10 cases, respectively. The surgical approaches used were suboccipital(7 cases), subtemporal(11 cases), transoro-sphenoid-clivus(1 case)and combined tempro-occipito-supratentorial and suboccipito-infratentorial(4 cases).Most of them were treated with microsurgery with the result of total resection in 6 cases, subtotal in 8 and partial 7.2 cases died postoperatively. 11 cases were followed up for a mean period of 3 years with good conditions.The surgical approaches,techniques,and preoperative embolization of petroclival tumors were also discussed in this peper.

【关键词】 岩骨尖斜坡脑肿瘤神经外科手术
【Key words】 petrous boneclivusbrain neoplasmsurgical treatment
  • 【文献出处】 实用肿瘤杂志 ,JOURNAL OF PUACTICAL ONCOLOGY , 编辑部邮箱 ,1995年02期
  • 【分类号】R739.41
  • 【下载频次】43
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