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本文报告岩尖斜坡区肿瘤23例。按肿瘤主体所在部位分为岩尖型(8例)、斜坡型(5例)和岩斜型(10例)。手术入路:枕下开颅7例,颞下开颅11例,经口-蝶-斜坡入路1例,颞枕-枕下联合开颅4例。绝大部分病例在显微手术下进行肿瘤切除。全切6例,次全切8例,大部切除7例,部分切除2例。手术死亡2例。平均随访3年,计11例,效果满意。还对岩尖斜坡区肿瘤的不同手术入路、手术操作注意事项及术前供血动脉栓塞等进行了讨论。
In this paper, 23 cases of tumors in rocky slope area were reported. According to the location of the tumor main body is divided into rock tip type (8 cases), slope type (5 cases) and rock slope type (10 cases). Surgical approach: 7 cases of suboccipital craniotomy, 11 cases of infratemporal craniotomy, 1 case of oral-butterfly-oblique incision, and 4 cases of temporal-occipital combined craniotomy. The vast majority of cases underwent microsurgical resection of the tumor. Total resection in 6 cases, subtotal resection in 8 cases, resection in 7 cases, partial resection in 2 cases. Surgery in 2 cases. The average follow-up of 3 years, 11 cases, the effect is satisfactory. We also discussed the different surgical approaches, surgical precautions and preoperative arterial embolism in rocky slopes.