CAJ | 학술논문

目的探讨海绵窦海绵状血管瘤(CSH)的手术治疗方法.方法回顾分析吉林大学第一医院自2008年1月至2012年1月收治的经手术和病理证实的CSH临床资料,共17例.17例中男6例,女11例,年龄平均48.5岁.结果 17例中全切14例,大部切除3例,无手术死亡病例.根据影像学检查结果,全切病例未见肿瘤复发;大部切除者经放疗后残留肿瘤无进展.术中颅神经解剖保留情况:动眼神经均解剖保留,外展神经12例,三叉神经15例;部分神经解剖保留病例在术后3～6个月神经功能不同程度恢复.结论根据肿瘤的体积和生长方向选择合适的手术入路,结合娴熟的显微外科技术和恰当的切除方法,可以最大限度的减少术中出血并全切肿瘤,降低神经功能缺失程度,提高远期术后生存质量.
목적 탐토해면두해면상혈관류(CSH)적수술치료방법.방법 회고분석길림대학제일의원자2008년1월지2012년1월수치적경수술화병리증실적CSH림상자료,공17례.17례중남6례,녀11례,년령평균48.5세.결과 17례중전절14례,대부절제3례,무수술사망병례.근거영상학검사결과,전절병례미견종류복발;대부절제자경방료후잔류종류무진전.술중로신경해부보류정황:동안신경균해부보류,외전신경12례,삼차신경15례;부분신경해부보류병례재술후3～6개월신경공능불동정도회복.결론 근거종류적체적화생장방향선택합괄적수술입로,결합한숙적현미외과기술화흡당적절제방법,가이최대한도적감소술중출혈병전절종류,강저신경공능결실정도,제고원기술후생존질량.
Objective To analyze the microsurgical treatment regimens of cavernous sinus hemangioma.Methods The microsurgical experiences were reviewed and analyzed for 17 cases of operatively and pathologically confirmed cavernous sinus cavernous hemangioma at our hospital from January 2008 to January 2012.There were 6 males and 11 females with an average age of 48.5 years.Results Among them,there were total (n =14) and subtotal (n =3) resection.And there was no occurrence of postoperative mortality.According to the results of imaging follow-up,total resection cases had no recurrence while subtotal residual tumor was progression-free after radiotherapy.Oculomotor,abducens and trigeminal nerves retained varying degrees of neurological function at 3-6 months postoperation.Conclusion Based on the size of tumor and growth direction,appropriate surgical approaches may be selected.And a combination of skilled microsurgical techniques and proper resection may reduce bleeding and facilitate total tumor removal so as to reduce the degree of neurological deficits and improve the long-term postoperative quality-of-life.