经颌下或颧弓入路的颅底肿瘤的外科治疗

目的] 探讨颅底及近颅底肿瘤的手术入路及治疗方法,并评价其手术效果.方法] 应用经颌下及颧弓入路对 11例颅底及近颅底肿瘤进行了手术治疗.术后随访 1～ 3.5年.总结分析了 3种不同的手术径路与方法、适应症以及治疗效果. 结果] 采用 3种不同的手术入路使侵及颅底的几类肿瘤都能获得足够的暴露,术野清楚、操作方便,均能清晰完整地摘除瘤体.本组病例随访时间为 1～ 3.5年,所有病例均健在,至今未出现颅脑症状和神经损伤以及肿瘤复发.结论] 颅底及近颅底肿瘤根据其所在部位、性质及瘤体大小采用适当的入路可获得足够的显露,并达到良好的手术效果.

Surgical Treatment of Neoplasms in and near Skull Base with Submandibular or Zygomatic Arch Approaches

To explore the surgical access to treat the neoplasms in and near the skull base, and to evaluate the effect of surgery. Eleven cases with tumor in or near the skull base were involved in this study. The patients were operated with submandibular or zygomatic arch approaches. All the patients were followed up with 1 3.5 years postoperatively. The access and special approaches,particular indication, and effect of surgery were summarized and analyzed. Enough exposure was obtained in all the three kinds of operations in this study. All the patients survived. Within the 1-3.5 years follow up, no symptom of brain or nerve damage and no recurrence were found. Conclusion]Enough exposure and good result can be obtained in the resection of the neoplasm in and near the skull base by means of different approaches selected according to the site and the type of tumors.