海绵窦肿瘤的诊断和显微手术切除

• 作 者: 周定标 张纪 段国升 刘树山 程东源 魏少波
• 机 构: 军医进修学院神经外科,军医进修学院神经外科,军医进修学院神经外科,军医进修学院神经外科,军医进修学院神经外科,军医进修学院神经外科,
• 出 处: 军医进修学院学报
• 发表日期: 1992年04期
• 关键词: 肿瘤 海绵窦 眼球活动障碍 脑肿瘤 脑膜瘤 神经纤维瘤 脊索瘤 垂体腺瘤 显微外科 显微外科手术

报告13例海绵窦肿瘤,包括6例垂体腺瘤、5例脑膜瘤、1例神经纤维瘤和1例脊索瘤,主要表现为头痛、视力减退、突眼、眼球活动障碍和内分泌紊乱。CT和MRI对确定肿瘤是否侵入海绵窦内具有重要意义。13例肿瘤分别经海绵窦外侧壁、上壁和内壁切除,无手术死亡。颅神经损伤发生率为38.5％,与文献中报告的(22～61％)相仿。作者介绍了手术方法及防止术中出血和颅神经损伤的体会。

13 cases of cavernous sinus tumors were reported, including 6 cases of pituitary adenoma, 5 cases of meningioma, 1 case of neurofibroma and 1 case of chordoma. The main manifestations were headache, vision loss, exophthalmos, oculomotor disorders and endocrine disorders. CT and MRI to determine whether the tumor invasion of the cavernous sinus is of great significance. 13 cases of tumors were removed by the cavernous sinus lateral wall, the upper wall and the inner wall, respectively, without surgical death. The incidence of cranial nerve injury was 38.5%, similar to that reported in the literature (22-61%). The author introduced the surgical methods and prevention of intraoperative bleeding and cranial nerve injury experience.