【摘要】 目的:探讨斜坡及鞍底巨大脊索瘤的手术治疗方法。方法:经筛窦入路手术治疗3例上斜坡肿瘤,其中1例复发性巨大斜坡肿瘤,累及鞍底、筛窦及整个鼻腔,经筛窦入路加左侧鼻旁侧切。结果:3例均达到镜下全切,1例术后第7天出现脑脊液漏,后重新修补,4周后痊愈出院。无长期脑脊液漏及颅内感染。结论:前额正中筛窦入路切除斜坡、鞍底肿瘤,符合解剖特点,显露充分,避免了颅底两侧血管神经的损伤,不造成脑组织损伤,肿瘤切除彻底,效果好。更多还原

【Abstract】 Objective:To discuss a transethmoidal surgical approach for chordomas involving the clivus and the sella turcica region . Methods: Three patients with giant chordoma involving anterior cranial fossa, middle cranial fossa and posterior cranial fossa, who were treated via transethmoidal surgical approach, were retrospectively studied. Results: All the tumors were totally removed microsurgically with this approach. No death or severe complications occurred. Conclusion: This approach is sufficient in the exposure of clivus and sella turcica region, less destructive,less time - consuming and easy to perform.更多还原