中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2015年
5期
362-368
,共7页
王振霖%张秋航%李茗初%严波%曹连杰%吕海丽%危维
王振霖%張鞦航%李茗初%嚴波%曹連傑%呂海麗%危維
왕진림%장추항%리명초%엄파%조련걸%려해려%위유
颅底肿瘤%内窥镜检查%鼻外科手术
顱底腫瘤%內窺鏡檢查%鼻外科手術
로저종류%내규경검사%비외과수술
Skull base neoplasm%Endoscopy%Nasal surgical procedures
目的 对采用内镜经鼻入路低温等离子射频颅底肿瘤切除术的早期经验进行总结,探讨该手术技术的安全性和可行性,并初步评价其治疗效果.方法 2013年9-11月,共10例颅底肿瘤于首都医科大学宣武医院采用等离子射频辅助内镜经鼻入路手术技术完成了肿瘤切除手术.对手术相关要点、肿瘤切除程度、术后并发症及早期治疗效果等进行总结.结果 本组病例的术中出血量为60 ～1 000 ml,中位数出血量为285 ml;手术时间为42 ～150 min,中位数手术时间为95 min;住院时间为14 ～19 d,平均15.7 d.在本组中,全部颅底肿瘤均获得了彻底切除,无新增的颅神经功能障碍出现,无脑脊液鼻漏及颅内感染等并发症.术后随访16～ 18个月,无肿瘤复发及与本肿瘤相关的死亡.结论 初步经验表明,低温等离子射频辅助下内镜经鼻入路颅底肿瘤切除技术可以较为安全、可靠地切除部分颅底肿瘤.
目的 對採用內鏡經鼻入路低溫等離子射頻顱底腫瘤切除術的早期經驗進行總結,探討該手術技術的安全性和可行性,併初步評價其治療效果.方法 2013年9-11月,共10例顱底腫瘤于首都醫科大學宣武醫院採用等離子射頻輔助內鏡經鼻入路手術技術完成瞭腫瘤切除手術.對手術相關要點、腫瘤切除程度、術後併髮癥及早期治療效果等進行總結.結果 本組病例的術中齣血量為60 ～1 000 ml,中位數齣血量為285 ml;手術時間為42 ～150 min,中位數手術時間為95 min;住院時間為14 ～19 d,平均15.7 d.在本組中,全部顱底腫瘤均穫得瞭徹底切除,無新增的顱神經功能障礙齣現,無腦脊液鼻漏及顱內感染等併髮癥.術後隨訪16～ 18箇月,無腫瘤複髮及與本腫瘤相關的死亡.結論 初步經驗錶明,低溫等離子射頻輔助下內鏡經鼻入路顱底腫瘤切除技術可以較為安全、可靠地切除部分顱底腫瘤.
목적 대채용내경경비입로저온등리자사빈로저종류절제술적조기경험진행총결,탐토해수술기술적안전성화가행성,병초보평개기치료효과.방법 2013년9-11월,공10례로저종류우수도의과대학선무의원채용등리자사빈보조내경경비입로수술기술완성료종류절제수술.대수술상관요점、종류절제정도、술후병발증급조기치료효과등진행총결.결과 본조병례적술중출혈량위60 ～1 000 ml,중위수출혈량위285 ml;수술시간위42 ～150 min,중위수수술시간위95 min;주원시간위14 ～19 d,평균15.7 d.재본조중,전부로저종류균획득료철저절제,무신증적로신경공능장애출현,무뇌척액비루급로내감염등병발증.술후수방16～ 18개월,무종류복발급여본종류상관적사망.결론 초보경험표명,저온등리자사빈보조하내경경비입로로저종류절제기술가이교위안전、가고지절제부분로저종류.
Objective To describe the early experience of resecting skull base tumor via a radiofrequency ablation-assisted endoscopic endonasal approach,investigate the safety and feasibility of the technique,and to assess its preliminary treatment outcomes.Methods Ten patients with skull base tumor who were admitted between September and November 2013 were operated on through a radiofrequency ablation-assisted endoscopic endonasal approach in Xuanwu hospital of capital medical university.In this study,the operative technique was described,and the degree of resection,complications and the early clinical outcomes was presented.Results Complete resection was achieved in all patients using this technique.No patient in the series experienced a new neurological deficit,cerebrospinal fluid leak or meningitis after surgery.No recurrence and death related to skull base tumor were found in the follow-up period (16-18 months).The volume of intraoperative blood loss was 60 to 1 000 ml (medium 285 ml).The duration of operations was from 42 to 150 min (medium 95 min).The hospital stay was from 14 to 19 d (average 15.7 d).Conclusion Our limited experience indicates that this technique is feasible and safe for the complete resection of some skull base tumors in selected cases.
