中华耳科学杂志Issue(3)：442-444,3.DOI:10.3969/j.issn.1672-2922.2014.03.023
侧颅底肿瘤术中颈静脉球的静脉窦回流临床研究
Occlusion of Venous Sinuses Reduces Bleeding during Resection of Skull Base Tumor Involving Jugular Bulb
崔勇 1吴佩娜 1蒙翠原 1傅敏 1葛润梅1
作者信息
- 1. 广东省人民医院耳鼻咽喉-头颈外科 广州 510080
- 折叠
摘要
Abstract
Objectives To study afflux of venous sinuses into the jugular bulb, and operational techniques that allow both total tumors and proper control bleeding during the operation. Methods The study analyzed 7 cases of skull base tu-mors that involved the jugular bulb treated from January, 2010 to June, 2013 in our department, including glomus jugular tu-mor (n=5), malignant temporal bone tumor (n=1) and meningioma (n=1). All the cases were operated upon via an infratempo-ral fossa approach. After ligation of the jugular vein in the neck and sigmoid sinus, the jugular bulb was incised to expose and occlude the orifice of vein sinuses. The tumor was removed together with the involved jugular bulb. Results The number of or-ifices of venous sinuses draining into the jugular bulb could be single (n=4), double (n=2) or more than two (n=1). Total tumor resection was achieved in 3 cases of the 5 glomus jugular tumor cases and partial resection in the rest 2. Total tumor removal was achieved in the malignant temporal bone tumor and meningioma cases. Conclusion It is very important to understand the afflux of venous sinuses into the jugular bulb. Blocking venous sinuses orifices can help control bleeding and tumor resection.关键词
侧颅底肿瘤/颈静脉球/出血Key words
Skull base surgery/Jugular bulb/Bleeding分类
医药卫生引用本文复制引用
崔勇,吴佩娜,蒙翠原,傅敏,葛润梅..侧颅底肿瘤术中颈静脉球的静脉窦回流临床研究[J].中华耳科学杂志,2014,(3):442-444,3.
