中国医科大学学报2011，Vol.40Issue(5)：431-435,5.DOI:CNKI:21-1227/R.20110523.1813.007
应用远外侧入路显微神经外科治疗颅颈交界区肿瘤
Microneurosurgical Treatment of the Tumors Around Craniocervical Junction Area via Far Lateral Approach
摘要
Abstract
Objective To investigate the application of far lateral approach in tumors located anterior or anterolateral to craniocervieal junction area by microneurosurgery.Methods We retrospective analysis twenty-seven patients clinically that underwent far lateral approach by microneurosurgery,including 5 retrocondylar approach, 8 partial transcondylar approach,2 transtubercular approach and 12 transfacetal and partial transcondylar approach.Clinical results were evaluated by Kamofsky Performance Scale (KPS),all patients underwent preoperative neuroradiological evaluation with magnetic resonance image (MRI)and 3-dimensional computed tomography artery (3DCTA).There are 3 patients who underwent preoperative incision of trachea to prevent of respiration ceases and cardiac arrest because of cephalic excessive hypsokinesis in the process of operation.Results Of all 27 patients,total tumor removal was achieved in 24 patients,subtotal removal was achieved in 2 patients, partial removal was achieved in 1 patient.None of the patients required occipitocervical fusion.Follow-up was showed no recurrence in cases with totally removed of rumor.Postoperative increase of KPS scores were recorded in all patients.The most frequent complications were lower cranial nerve deficit,hypodermic fluidify, CSF leakage and vasospasm of brain stem or spinal cord.Conclusion The far-lateral approach was an ideal approach to tumors located anterior or anterolateral to cranio- cervical junction area.Preoperative neuroradiological evaluations were helpful to the approach,The choice of the approach depends on the pathological peculiarity,position,the extending range and involved in degree of correlating blood vessels.The exposure required for effective surgical treatment should be individualy considerred.关键词
远外侧入路/显微神经外科/颅颈交界/颅内肿瘤Key words
far lateral approach/ microneurosurgery/ craniocervical junction/ intracranial tumor分类
医药卫生引用本文复制引用
吴鹏飞,王运杰,景治涛,凌光烈..应用远外侧入路显微神经外科治疗颅颈交界区肿瘤[J].中国医科大学学报,2011,40(5):431-435,5.基金项目
国家十一五科技支撑计划课题(2006BAI01A12) （2006BAI01A12）
