CAJ | 학술논문

　　目的：探讨内镜联合显微手术治疗大型颅鼻沟通瘤的微创治疗方法。方法：对9例大型颅鼻沟通瘤患者在扩大额下入路显微手术切除颅内肿瘤的基础上，联合应用神经内镜经前颅窝颅骨缺损或经鼻切除肿瘤的颅外部分，其中7例经鼻行肿瘤切除，并重建颅底。结果：所有肿瘤均全切除，无手术死亡和新增神经功能缺损、脑膜脑膨出、颅内感染等并发症。结论：内镜联合显微手术治疗大型颅鼻沟通瘤创伤小，对深部能提供良好的照明及视野，安全有效。
　　목적：탐토내경연합현미수술치료대형로비구통류적미창치료방법。방법：대9례대형로비구통류환자재확대액하입로현미수술절제로내종류적기출상，연합응용신경내경경전로와로골결손혹경비절제종류적로외부분，기중7례경비행종류절제，병중건로저。결과：소유종류균전절제，무수술사망화신증신경공능결손、뇌막뇌팽출、로내감염등병발증。결론：내경연합현미수술치료대형로비구통류창상소，대심부능제공량호적조명급시야，안전유효。
Objective:To explore endoscopic combined microsurgery minimally invasive treatment methods for the treatment of large cranial-nasal tumors.Method:9 patients with large cranial-nasal tumors were treated the part tumors of intracranial by extend subfrontal approach,and the part tumors of extracranial were treated combined with endoscopic transnasal approach and trans skull defect approach,and skull base reconstruction.Result:All the tumors were totally removed.No serious operative complication,sush as desth,CSF leakage,intracranial infection or meningeal encephalocele were happened. Conclusion:Endoscopy combined with microsurgery treatment of large cranial nasal tumors wase a minimally invasive treatment methods. It can provide good lighting and perspective of deep,it is safe and effective.