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目的探讨前侧颅底颅内外沟通瘤的手术策略、技巧,以提高手术疗效。方法回顾性分析经手术治疗的前侧颅底沟通肿瘤50例,着重于肿瘤部位、范围、病理与病例选择、术前计划、入路选择、手术技巧等之间的关系。结果肿瘤全切31例,次全切15例,部分切除4例。术后出现并发症23例,无死亡病例。结论根据肿瘤病理类型、位置、范围选择合适手术入路。利用不同工具和方法,争取一期全切肿瘤。重建颅底硬膜及颅骨结构,避免脑脊液漏。保留功能和容貌是手术的关键。
Objective To explore the surgical strategies and techniques of anterior cranial skull base intracranial tumors in order to improve the curative effect. Methods Retrospective analysis of 50 cases of surgically treated frontal skull base tumor, focusing on the relationship between tumor location, range, pathology and case selection, preoperative planning, choice of approach, surgical technique and so on. Results Totally 31 cases of tumor resection, subtotal 15 cases, partial resection in 4 cases. Postoperative complications occurred in 23 cases, no deaths. Conclusion According to the type of tumor pathology, location, scope, select the appropriate surgical approach. Utilize different tools and methods for a total resection of the tumor. Reconstruction of skull base dura and skull structure, to avoid leakage of cerebrospinal fluid. Maintain the function and appearance is the key to surgery.