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目的 报道海绵窦外侧壁肿瘤的临床诊断和显微手术治疗效果。 方法 回顾分析 4年来收治的 7例海绵窦外侧壁肿瘤的临床资料 ,7例临床均表现为海绵窦综合征 ,MRI检查显示一侧海绵窦外侧壁边界清楚的占位病变 ,颈内动脉海绵窦段向内侧移位 ,颈内动脉无狭窄或肿瘤包绕 ,全部采用显微手术治疗。 结果 手术全切除 6例 ,次全切除 1例 ,无死亡病例 ,术后出现脑脊液漏 1例 ,动眼神经麻痹 1例。 结论 海绵窦外侧壁肿瘤的诊断主要靠临床表现及MRI检查 ,采用合理的手术入路 ,施行显微手术治疗能取得较好疗效。
Objective To report the clinical diagnosis and microsurgical treatment of cavernous sinus lateral wall tumors. Methods The clinical data of 7 cases of cavernous sinus lateral wall tumors treated in 4 years were retrospectively analyzed. All 7 cases showed cavernous sinus syndrome, and the MRI examination showed a clear space-occupying lesion on the lateral wall of cavernous sinus. The internal carotid cavernous sinus Dislocation to the medial side of the internal carotid artery without stenosis or tumor-wrapping, all using microsurgical treatment. Results The total resection in 6 cases, subtotal resection in 1 case, no deaths, postoperative cerebrospinal fluid leakage in 1 case, oculomotor nerve paralysis in 1 case. Conclusions The diagnosis of cavernous sinus lateral wall tumor mainly depends on the clinical manifestations and MRI examination. By reasonable surgical approach, microsurgical treatment can achieve better curative effect.