扩大额颞入路切除中颅窝沟通性肿瘤42例临床研究.docVIP

扩大额颞入路切除中颅窝沟通性肿瘤42例临床研究 刘信龙 徐正平 许峰峰 李明 杨冰 肖丽鸿 廖环 万里靖 王丽芳 解放军455医院神经外科（上海市 200052） 【摘要】? 目的 总结外科治疗经验。 方法 回顾性分析额颞入路切除肿瘤例的外科治疗经验。 结果肿瘤全切除例，次全切除例。术后并发症：例，1例脑脊液漏例，咬合错位例，感染1例。 结论额颞手术入路切除中颅窝沟通性肿瘤，术中离断颧弓，脑脊液降低颅内压，切除肿瘤。 【关键词】?中颅窝沟通性肿瘤 外科手术???Extended frontotemporal approach for resection of middle cranial fossa communicating tumors : clinical study of 42 cases ???LIU XinLong,XU ZhengPing,XU FengFeng,LI Ming, YANG Bing, XIAO LiHong,LIAO Huan,WAN LiJing,WANG LiFang ?? Department of Neurosurgery, 455 Hospital of PLA, Shanghai , 200052 ???[ Abstract ] Objective To summarize surgical treatment experience on the extended frontotemporal approach for resection of middle cranial fossa communicatiing tumors. Methods Retrospective analysis of surgical treatment experience on extended frontotemporal approach for resection of middle cranial fossa communicating tumors in 42 cases . Results Total tumor resection in 32 cases, subtotal resection in 6 cases, partial resection in 4 cases, no operation death. Symptoms disappeared in 18 cases, improved in 24 cases. Operation complications: part of sensory root of trigeminal nerve injury in 15 cases, oculomotor nerve injury in 6 cases, optic nerve injury in 3 cases ,1 cases with facial nerve injury. Cerebrospinal fluid leakage in 3 cases, bite dislocation in 1 case, 1 case of intracranial infection. Conclusion Extended frontotemporal approach for resection of middle cranial fossa communicating tumors, with disconnection of the zygomatic arch and lumbar cisterm cerebrospinal fluid drainage to reduce intracranial pressure in operation , from the extracranial began to resection of the tumor, provide wide operative field, better protecting the brain and nerve function, reducing operation complications.?? ? Key words:? middle cranial fossa;? communicating tumors ;surgery ?? 起源于中颅窝、2001年1月2011年月，我科手术治疗例，效果满意，现报告如下。 ??? 1??? 对象与方法??? 1.1??? 一般资料??? 男例，女例；年龄～6岁，平均岁。表现为面部疼痛头痛眼球突出、视力障碍面