论文部分内容阅读
目的探讨改良经岩骨乙状窦前入路显微手术切除岩斜区脑膜瘤的疗效及手术技巧。方法采用改良经岩骨乙状窦前入路显微外科切除岩斜区脑膜瘤 11例并对其临床资料进行回顾性分析。结果肿瘤全切除 8例 ,次全切除 1例 ,大部切除 2例。本组无死亡病例 ,术后昏迷 1例 ,新出现暂时性颅神经障碍 3例 ,无脑脊液漏发生。结论改良经岩骨乙状窦前入路简便、安全 ,可充分显露岩斜区 ,有利于提高肿瘤切除程度和术后疗效 ,是岩斜区脑膜瘤手术治疗的较佳入路 ,但对术者的手术技巧和经验要求较高。
Objective To investigate the effect and surgical technique of modified petrosal anterior sigmoid sinus microsurgery for petroclival meningiomas. Methods A total of 11 cases of petroclival meningiomas were excised by modified petrosal sigmoid anterior approach microsurgery and their clinical data were retrospectively analyzed. Results Total tumor resection in 8 cases, subtotal resection in 1 case, mostly in 2 cases. No deaths in this group, postoperative coma in 1 case, 3 cases of transient cranial nerve disorder, no cerebrospinal fluid leakage occurred. Conclusions The improved anterior approach of petrous and sigmoid sinus is simple and safe and can fully reveal the rock slope area, which is beneficial to improve the degree of tumor resection and postoperative curative effect. It is a better approach for the surgical treatment of lithotactic meningioma. However, The surgical skills and experience of those who require higher.