汕头大学医学院学报2024，Vol.37Issue(2)：90-94,5.DOI:10.13401/j.cnki.jsumc.2024.02.007
不栓塞条件下经鼻内镜手术治疗侵犯颈内动脉颅底肿瘤的应用
Application of transnasal endoscopic surgery for tumours of the skull base invading the internal carotid artery without embolisation conditions
摘要
Abstract
Objective:To investigate the value of transnasal endoscopic surgical resection of skull base tumours invading the internal carotid artery under conditions of no internal carotid artery embolisation.Methods:The medical records and imaging data of patients with skull base tumours invading the internal carotid artery who underwent transnasal endoscopic surgical resection at Shenzhen Longgang Otorhinolaryngology Hospital from January 2018 to December 2021 were retrospectively collected.A total of 30 patients,including 17 males and 13 females,aged 22-74(51±13)years,with a follow-up time of 2-64 months(median time 18 months),were included.The patients were analyzed for information on tumour type,site of invasion of the internal carotid artery,imaging,internal carotid artery management strategy and prognosis.Results:Balloon occlusion test was negative in 28 out of 30 patients.One patient with radiological skull base osteonecrosis underwent internal carotid artery embolisation,while the others did not undergo internal carotid artery embolisation.All patients underwent nasal endoscopic resection of the skull base lesion,in which the skull base lesion was radically resected while the internal carotid artery was well protected,and none of them suffered from rupture of the internal carotid artery and bleeding.Twenty-nine(96.7%)patients survived during the follow-up period,and 26(86.7%)patients were stable and progression-free after surgery.Conclusion:Transnasal endoscopic surgical resection of skull base tumours invading the internal carotid artery without internal carotid artery embolisation is safe and feasible,and preoperative balloon occlusion test can guide the development of surgical protocols and improve surgical efficacy and safety.关键词
颅底肿瘤/球囊闭塞试验/鼻内镜手术/颈内动脉栓塞Key words
skull base tumour/balloon occlusion test/nasal endoscopic surgery/internal carotid artery embolisation分类
医药卫生引用本文复制引用
王再兴,张秋航,曾宪海,卢永田..不栓塞条件下经鼻内镜手术治疗侵犯颈内动脉颅底肿瘤的应用[J].汕头大学医学院学报,2024,37(2):90-94,5.基金项目
深圳市医学重点学科建设(SZXK039) （SZXK039）
