头颈肿瘤侵及颅底的手术治疗研究进展

• 作 者: 莫立根 杨荣宁
• 机 构: 广西医科大学肿瘤医院,
• 出 处: 中国医学文摘(肿瘤学)
• 发表日期: 2001年03期
• 关键词: 头颈肿瘤 颅底肿瘤 显微外科技术 手术入路 前颅底 整形外科 胸大肌肌皮瓣 颅底外科 颅面联合进路 颈静脉孔

侵犯颅底的头颈肿瘤位置深在,解剖关系复杂,有重要神经血管穿行,涉及多学科领域。长期以来,该类肿瘤一直令医生望而却步,甚至被视为“禁区”。最近20年来,由于神经影像学技术和显微外科技术的发展,以及耳鼻咽喉-头颈外科与神经外科、颌面外科、整形外科的密切合作,颅底肿瘤的手术治疗取得了长足的进展,颅底外科成了当前最

The head and neck tumors invading the base of the skull are deeply located, the anatomy is complex, and there are important neurovascular passages, involving multidisciplinary fields. For a long time, this type of tumor has always been prohibitive for doctors, and even considered as a “restricted area.” In the last 20 years, due to the development of neuroimaging techniques and microsurgical techniques, and close cooperation between otorhinolaryngology-head and neck surgery and neurosurgery, maxillofacial surgery, and orthopedic surgery, surgical treatment of skull base tumors has made considerable progress. Bottom surgery has become the most current