论文部分内容阅读
目的探讨神经内窥镜经鼻入路联合术后伽玛刀放射在治疗颅底脊索瘤中的应用及术后临床效果。方法应用30o硬性神经内镜,经鼻入路,磨除颅底相应的骨性结构,分块切除肿瘤,术后辅以伽玛刀放射治疗。结果6例颅底脊索瘤,4例肿瘤近完全切除,2例次全切除,术后病理均证实为脊索瘤,术后临床症状均获得一定程度的改善,1例复发。结论神经内窥镜经鼻入路联合伽玛刀放射治疗颅底脊索瘤,具有安全有效、创伤小、操作简单等优点。
Objective To investigate the application of endoscopic nasal approach combined with postoperative gamma knife radiation in the treatment of skull base chordoma and its clinical effect. Methods 30o rigid endoscopic sinus surgery, nasal approach, removal of the skull base corresponding bone structure, block removal of the tumor, supplemented by gamma knife radiotherapy. Results 6 cases of skull base chordoma, 4 cases of complete resection of the tumor, 2 cases of subtotal resection, postoperative pathology were confirmed as chordoma, postoperative clinical symptoms have improved to some extent, 1 case of recurrence. Conclusion Nerve endoscopic nasal approach combined with Gamma Knife radiotherapy of skull base chordoma, with safe and effective, trauma, simple operation and so on.