CAJ | 학술논문

目的探讨远外侧—乙状窦前联合入路在广泛侵及斜坡—脑干腹侧巨大肿瘤和椎-基底动脉复杂巨大动脉瘤的显微外科手术治疗中的应用.方法回顾性分析应用远外侧—乙状窦前联合入路显微手术治疗的2例椎-基底巨大动脉瘤和1例巨大颅内外沟通之颈静脉孔区颈静脉球瘤,并广泛侵犯岩斜及鞍旁区域,对此3例临床、影像资料及手术入路进行研究分析.结果 1例巨大肿瘤近全切除,出现饮水呛咳,声音嘶哑,术后10 d好转,但周围性面瘫较术前加重,术后3个月复查恢复至术前水平.例2、3巨大椎-基底动脉瘤患者术后饮水呛咳均有好转,行走正常.结论远外侧—乙状窦前联合入路对于侵蚀全斜坡的巨大颅底肿瘤或椎-基底动脉巨大动脉瘤的治疗是一种全新的安全有效的手术方法.
목적 탐토원외측—을상두전연합입로재엄범침급사파—뇌간복측거대종류화추-기저동맥복잡거대동맥류적현미외과수술치료중적응용.방법 회고성분석응용원외측—을상두전연합입로현미수술치료적2례추-기저거대동맥류화1례거대로내외구통지경정맥공구경정맥구류,병엄범침범암사급안방구역,대차3례림상、영상자료급수술입로진행연구분석.결과 1례거대종류근전절제,출현음수창해,성음시아,술후10 d호전,단주위성면탄교술전가중,술후3개월복사회복지술전수평.례2、3거대추-기저동맥류환자술후음수창해균유호전,행주정상.결론 원외측—을상두전연합입로대우침식전사파적거대로저종류혹추-기저동맥거대동맥류적치료시일충전신적안전유효적수술방법.
Objective To study the outcome of the far lateral -combined presigmoid approach in microsurgical treatment for patients with giant petroclival tumors and vertebral - basilar artery aneurysms.Methods The clinical features,imaging data,surgical approach,outcome of operation and postoperative complications of two cases of giant vertebral - basilar artery aneurysms and one giant intra - and extracranial petroelival glomus jugulare tumor resected via the far lateral - combined presigmoid approach were analyzed retrospectively.Results Subtotal resection of the tumor was achieved in one patient.Postoperatively,this patient had drinking irritating,phonal hoarseness and peripheral facial paralysis.The first two complications of this patient were fully recovered 10 days later,and his facial paralysis was transiently getting worse,and recovered to basic level three months after surgery.Drinking irritating of two cases of giant vertebral - basilar artery aneurysms was fully recovered without limb paralysis.Conclusions The far lateral - combined presigmoid approach is a safe and effective minimal invasive surgical treatment for patient with giant petroclival tumors and vertebral- basilar artery aneurysms.