【摘要】 目的探讨显微外科切除颅底肿瘤的可行性、手术入路的选择及修复与重建。方法回顾性分析1998～2006年收治的116例颅底肿瘤患者,根据肿瘤部位选择相应手术入路切除肿瘤。结果肿瘤全切除76例(65.5%),次全切除40(34.5%)例,无手术死亡,手术并发症发生率20.7%。结论术前对颅底病变充分评估,制订合理的治疗策略,采取恰当的手术人路,同时保护重要的血管神经,可提高颅底肿瘤的治疗效果。更多还原

【Abstract】 Objective To discuss the possibility,indications,approaches and tumor resection of skull-base tumors microsurgically as well as the repair and reconstruction.Methods Clinical data of 116 cases with skull-base tumors treated microsurgically in our department from 1998 to 2006 was reviewed and analyzed retrospectively.Suitable microsurgical approach was selected according to the tumor location determined with CT and/or MRI pre-operatively.Results Of all the 116 cases,total removal was achieved in 76 and partial removal in 40.No patient died and postoperative complications occurred in 24 cases(20.7%).Conclusion Careful evaluation of the lesion,preoperative chosen of proper strategy and suitable surgical approach,protection of important vessels and nerves during operation are very important to improve the therapeutic efficacy of skull-base lesions.更多还原