摘要
Abstract
Objective To explore the clinical effect of modified anterior subtemporal approach for resection of tumors in petroclival region and cavernous sinus.Methods The data of 30 patients with oncology treated in our hospital from January 2016 to January 2018 were analyzed retrospectively.All patients were treated with modified anterior infratemporal approach for resection of tumors in petroclival region and cavernous sinus.The degree of tumor resection, the incidence of postoperative complications and the quality of life of the patients were observed.Results 18 cases of petroclival tumors and 12 cases of cavernous sinus tumors were confirmed by pathological examination.Total resection was performed in 13 cases, subtotal resection in 10 cases and majority resection in 7 cases.Transient seizure occurred in 3 cases, oculomotor nerve palsy in 4 cases, mild facial numbness in 3 cases, mild facial paralysis in 1 case, hemiplegia in 1 case, no cerebrospinal fluid leakage, intracranial infection, postoperative hematoma and death.The incidence of complications was 40.0％, followed up from 3 months to 4 years after discharge, 23 patients with temporary neurological dysfunction received different degrees of recovery and 7 patients had no recurrence after operation.The recurrence rate of tumor was 14.29％ in 6 cases with no recurrence after partial resection, 23 cases with 100 points, 6 cases with 90 points and 1 case with 80 points according to KPS score.Conclusion The modified anterior infratemporal approach is simple, safe, effective and less invasive in patients with petroclival and cavernous sinus tumors, and is suitable for the surgical treatment of tumors in this region.It can be popularized and applied in clinic.关键词
颅内肿瘤/岩斜区/海绵窦区/显微手术/改良前颞下入路/疗效Key words
Intracranial tumor/Petroclival region/Cavernous sinus area/Microsurgery/Modified anterior subtemporal approach/Curative effect分类
医药卫生
