蝶岩斜区肿瘤36例的显微外科治疗

• 作 者: 张晓路 程超 吴志峰 王诚
• 机 构: 南京医科大学附属无锡市人民医院神经外科,
• 出 处: 江苏医药
• 发表日期: 2012年18期
• 关键词: 蝶岩斜区肿瘤 显微外科手术

目的总结切除蝶岩斜区肿瘤的手术效果。方法回顾性分析显微手术治疗的36例蝶岩斜区肿瘤患者的临床资料,其中脑膜瘤19例,神经鞘瘤13例,表皮样囊肿4例。采用乙状窦前入路15例,颞枕经小脑幕-经岩嵴入路19例,乙状窦后入路2例。结果肿瘤全切29例(80.6%),次全切除7例(19.4%),无手术死亡病例。结论采用颞枕经小脑幕-经岩嵴入路切除蝶岩斜区肿瘤,有利于降低颅神经损伤、减少脑脊液漏的发生率。

Objective To summarize the surgical results of excision of butterflies incline tumors. Methods The clinical data of 36 cases of butterfly petroclival tumors treated with microsurgery were retrospectively analyzed. Among them, 19 were meningiomas, 13 schwannoma and 4 were epidermoid cysts. Fifteen patients underwent anterior sigmoid sinus approach, 19 from the temporal occipital tentorium through the crevicular crest, and 2 from the sigmoid sinus posterior approach. Results Tumor resection in 29 cases (80.6%), subtotal resection in 7 cases (19.4%), no surgical deaths. Conclusion The temporal occipital transthoracic - meridian approach to remove the butterflies petroclival tumors, is conducive to reduce the cranial nerve injury, reduce the incidence of cerebrospinal fluid leakage.