论文部分内容阅读
目的探讨经眶颧入路显微切除海绵窦肿瘤的手术方法与临床疗效。方法回顾性研究经眶颧入路显微切除的19例海绵窦肿瘤,对肿瘤病理类型、临床和影像学特征、手术入路、手术切除技巧及术后并发症等进行系统分析。结果在手术显微镜下肿瘤全切除17例,近全切除2例。术后原有脑神经症状38%得到改善,43%同术前,19%加重,出现重的脑神经症状5例。无其它严重并发症及死亡病例。结论经眶颧入路可以较好地显露并全切除海绵窦肿瘤,熟知该入路的巨-微解剖、肿瘤与海绵窦结构的病理解剖关系以及熟练的显微手术技能是全切除肿瘤并有效地保护脑神经的关键。
Objective To investigate the surgical methods and clinical effects of microsurgical removal of cavernous sinus tumors by orbital zygomatic approach. Methods Nineteen cases of cavernous sinus tumors were retrospectively studied by means of orbital zygomatic approach. The pathological types, clinical and imaging characteristics, surgical approach, surgical resection techniques and postoperative complications were systematically analyzed. Results Under the operation microscope, the tumor was resected in 17 cases and the total resection in 2 cases. After the original 38% of cerebral neurological symptoms were improved, 43% with the preoperative, 19% aggravated, there were 5 cases of severe neurological symptoms. No other serious complications and deaths. Conclusion The orbital zygomatic approach can reveal and resect the cavernous sinus tumor well. It is well known that the giant-micro anatomy of the approach, the pathological anatomy of the tumor and the cavernous sinus structure, and the skilled microsurgical skills are the effective method of total resection of the tumor The key to protect the brain.