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为总结海绵窦肿瘤显微神经外科治疗的经验 ,作者对 1990年 1月～ 2 0 0 1年 6月收治的 2 6例海绵窦肿瘤病例进行了回顾性分析。手术均采用改良翼点入路 ,显微直视手术 ,其中 6例在神经导航辅助下进行。结果全切 19例 (73 1% ) ,部分切除 7例 (2 6 9% )。术后 14例 (5 3 8% )颅神经症状逐渐改善 ,6例 (2 3 1% )出现新的颅神经损害症状 ,无死亡。对部分切除的病人 ,术后加立体定向放射外科治疗。随访 8个月～ 12年 ,未见肿瘤复发。作者认为 ,熟悉海绵窦区的显微解剖并具备熟练的显微神经外科技术 ,可使该类手术取得良好效果。
To summarize the experience of microsurgical neurosurgical treatment of cavernous sinus tumors, we retrospectively analyzed 26 cases of cavernous sinus tumors from January 1990 to June 2001. Surgery were modified pterional approach, microsurgery surgery, of which 6 cases with the aid of neural navigation. Results The total removal of 19 cases (73 1%), partial resection in 7 cases (269%). The symptoms of cranial nerves gradually improved in 14 cases (53.8%), and the symptoms of new cranial nerve lesion appeared in 6 cases (23.1%) without death. Partially resected patients, postoperative plus stereotactic radiosurgery. Follow-up 8 months to 12 years, no tumor recurrence. The authors believe that familiar with the anatomy of the cavernous sinus and have a skilled micro-neurosurgery technology, such surgery can achieve good results.