国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
15期
2356-2358
,共3页
周迩%邓岳桥%刘清%邱迪%林绘%黄燕钦%黄炳锋%麦洁文
週邇%鄧嶽橋%劉清%邱迪%林繪%黃燕欽%黃炳鋒%麥潔文
주이%산악교%류청%구적%림회%황연흠%황병봉%맥길문
神经内镜%显微手术%颅鼻沟通瘤
神經內鏡%顯微手術%顱鼻溝通瘤
신경내경%현미수술%로비구통류
Endoscopy%Microsurgery%Cranial-nasal tumor
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,无手术死亡病例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.
目的 探討內鏡聯閤顯微手術治療大型顱鼻溝通瘤的微創治療方法.方法 對9例大型顱鼻溝通瘤患者在擴大額下入路顯微手術切除顱內腫瘤的基礎上,聯閤應用神經內鏡經前顱窩顱骨缺損或經鼻切除腫瘤的顱外部分,其中7例經鼻行腫瘤切除,併重建顱底.結果 所有腫瘤均全切除,無手術死亡病例和新增神經功能缺損、腦膜腦膨齣、顱內感染等併髮癥.結論 內鏡聯閤顯微手術治療大型顱鼻溝通瘤創傷小,對深部能提供良好的照明及視野,安全有效.
목적 탐토내경연합현미수술치료대형로비구통류적미창치료방법.방법 대9례대형로비구통류환자재확대액하입로현미수술절제로내종류적기출상,연합응용신경내경경전로와로골결손혹경비절제종류적로외부분,기중7례경비행종류절제,병중건로저.결과 소유종류균전절제,무수술사망병례화신증신경공능결손、뇌막뇌팽출、로내감염등병발증.결론 내경연합현미수술치료대형로비구통류창상소,대심부능제공량호적조명급시야,안전유효.
Objective To explore endoscopy combined minimally invasive microsurgery methods the treatment of large cranial-nasal tumors.Methods 9 patients with large cranial-nasal tumors received resection of part of the intracranial tumors by extend subfrontal approach,and part of extracranial tumors were removed by endoscopic transnasal approach combined with transskull defect approach,and the skull base was reconstructed.Results All the tumors were entirely removed.No serious procedure-related complications including death,CSF leakage,intracranial infection or meningeal encephalocele occurred.Conclusions Endoscopy combined with microsurgery for large cranial-nasal tumors is a minimally invasive treatment method.It can provide better lighting and perspective of deep area and is safe and effective.