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目的总结扩大额颞入路切除中颅窝沟通性肿瘤外科治疗经验。方法回顾性分析扩大额颞入路切除中颅窝沟通性肿瘤42例的外科治疗经验。结果肿瘤全切除32例,次全切除6例,大部切除4例,无手术死亡。术后症状消失18例,好转的24例。手术并发症:三叉神经感觉根部分损伤15例,眼动神经损伤6例,视神经损伤3例,面神经损伤1例。术后脑脊液漏3例,咬合错位1例,颅内感染1例。结论扩大额颞手术入路切除中颅窝沟通性肿瘤,术中离断颧弓,腰大池引流脑脊液降低颅内压,术野宽阔,从颅外开始切除肿瘤,可以较好的保护脑和神经功能,减少手术并发症。
Objective To summarize the experience of surgical treatment of mesial esophagectomy by frontotemporal approach. Methods The surgical treatment of 42 cases of mesial esophageal neoplasm by frontotemporal approach was retrospectively analyzed. Results Tumor resection in 32 cases, subtotal resection in 6 cases, mostly in 4 cases, no operative death. Postoperative symptoms disappeared in 18 cases, improved in 24 cases. Surgical complications: Trigeminal nerve root injury in 15 cases, ocular injury in 6 cases, optic nerve injury in 3 cases, 1 case of facial nerve injury. Postoperative cerebrospinal fluid leakage in 3 cases, occlusion dislocation in 1 case, intracranial infection in 1 case. Conclusions Frontotemporal approach to expand the tumors of the middle cranial fossa, intractable zygomatic arch off, drainage of cerebrospinal fluid in the lumbar cistern to reduce intracranial pressure, wide surgical field, removal of the tumor from the extracranial, can better protect the brain and nerve Function, reduce surgical complications.