论文部分内容阅读
目的 :探讨切除颅底深部肿瘤的手术途径。方法 :根据肿瘤位置不同 ,分别采用 (1)上颌窦前壁拆装 ;(2 )颧弓拆装 ;(3)鼻锥翻揭 ;(4)上颌骨翻揭 ;(5)下颌骨翻揭 ;(6 )唇下面中部翻揭。结果 :6 2例患者术中视野暴露充分 ,肿瘤能完整大块切除 ,术后头面部畸形不明显 ,器官功能维护良好。 3年生存率为 86 1% ,5年生存率为 6 6 7%。结论 :对颅底深部肿瘤依据不同位置采用翻揭或拆装手术途径 ,既能使手术野最大暴露 ,又可将损伤降到最低程度 ,符合现代颅底外科手术原则
Objective: To explore the surgical approach to remove deep tumors in skull base. Methods: According to the different tumor locations, (1) disassembly and assembly of maxillary sinus anterior wall, (2) zygomatic arch disassembly and assembly, (3) nasal cone flipping, (4) maxilla flipping, (5) ; (6) the middle of the lip turn the mortgage. Results: Sixty-two patients were well exposed in the field of vision, the tumor could be completely resected, the facial deformity was not obvious and the function of the organ was well maintained. The 3-year survival rate was 86.1% and the 5-year survival rate was 6 6 7%. Conclusion: The method of overturning or disassembling and disassembling the deep skull base tumors according to different locations not only maximizes the surgical field exposure but also minimizes the damage, which is in line with the principles of modern skull base surgery