CAJ | 학술논문

目的探讨经颞下-小脑幕入路显微手术切除中上岩斜区肿瘤的方法和疗效.方法自2005年1月至2011年12月经颞下-小脑幕入路显微手术治疗中上岩斜区肿瘤患者32例,回顾性分析患者的临床资料和手术方法.结果 32例患者术后病理证实脑膜瘤20例,神经鞘瘤7例,表皮样囊肿5例.肿瘤全切除22例,次全切除6例,大部切除4例.15例患者术后出现新的神经功能障碍:肢体偏瘫5例,失语3例,动眼神经麻痹3例,滑车神经麻痹2例,三叉神经麻痹7例,外展神经麻痹4例,面神经麻痹2例,听神经麻痹3例.术后随访3 ～12个月,神经功能均得到不同程度恢复.结论经颞下-小脑幕入路是切除中上岩斜区肿瘤值得推荐的入路,具有操作简单、创伤小、并发症少等优点.但术前应仔细研究影像学资料,准确判断病变的位置来决定是否采用此手术入路.
목적 탐토경섭하-소뇌막입로현미수술절제중상암사구종류적방법화료효.방법 자2005년1월지2011년12월경섭하-소뇌막입로현미수술치료중상암사구종류환자32례,회고성분석환자적림상자료화수술방법.결과 32례환자술후병리증실뇌막류20례,신경초류7례,표피양낭종5례.종류전절제22례,차전절제6례,대부절제4례.15례환자술후출현신적신경공능장애:지체편탄5례,실어3례,동안신경마비3례,활차신경마비2례,삼차신경마비7례,외전신경마비4례,면신경마비2례,은신경마비3례.술후수방3 ～12개월,신경공능균득도불동정도회복.결론 경섭하-소뇌막입로시절제중상암사구종류치득추천적입로,구유조작간단、창상소、병발증소등우점.단술전응자세연구영상학자료,준학판단병변적위치래결정시부채용차수술입로.
Objective To improve the therapeutic effect of the petroclival tumors removed via subtemporal transtentorial approach by microsurgical techniques.Methods Thirty-two patients with tumors in mid-superior petroclival region,admitted to our hospital from January 2005 to December 2011 and underwent microsurgery through subtemporal transtentorial approach.The clinical manifestations,surgical methods and treatment efficacy were retrospectively analyzed.Results Thirty-two patients with tumors included 20 meningiomas,7 neurilemmoma and 5 epidermoid cyst.Total resection was achieved in 22 cases,subtotal resection in 6 cases,and partial resection in 4 cases.Fifteen patients developed new postoperative neurological deficits.The patients were followed up for 3 to 12 months,and the neurological functions recovered in varying degrees.Conclusions The subtemporal transtentorial approach is one of the optimal approaches to remove the mid-superior petroclival tumors because of its mini-invasion and less complications,indicating for a wide application in clinic.