文档介绍：远外侧入路显微外科切除颈静脉孔区肿瘤16例
作者:张宇诸葛启钏郑伟明张俊廷吴近森林晨赵继宗
【关键词】脑肿瘤
【Abstract】 AIM: To introduce the experience of the surgical approach and microsurgical technique in treating jugular foramen tumors. METHODS: Sixteen patients with tumor of the jugular foramen underwent microsurgical operations via far lateral approach under microscope. The clinical manifestations, operative approach, surgical technique, plication were summarized and analyzed. RESULTS: Total tumor removal was achieved in 11 cases, subtotal removal in 4 cases, and greater part removal in 1 case. The postoperative pathological examination showed neurinoma in 10 cases, tumor of glomus jugulare in 3, meningioma in 2, and chordoma in 1. After operation, cerebrospinal otorrhea occurred in 1 case and infection in 1 case and the symptoms disappeared after treatment. All 16 patients survived. CONCLUSION: Although the surgery is difficult, far lateral approach with much better view over the vascular and neural structures of the jugular foramen allows safe removal of tumors of the jugular foramen with minimally damage to the nerves or vessels.
【Keywords】 jugular foramen; brain neoplasm; surgical approach
【摘要】目的: 介绍颈静脉孔区肿瘤切除经验、显微手术技巧及并发症防治要点. 方法: 199606/200402共收治确诊的16例颈静脉孔区肿瘤患者,采用远外侧入路,在显微镜直视下切除肿瘤. 并对其临床特点、手术入路、手术操作和并发症等方面予以总结和分析. 结果: 16例肿瘤中均经手术治疗,其中11例全切除,次全切除4例,1例大部分切除;术后病理示神经鞘瘤10例,颈静脉球瘤3例,脑膜瘤2例,脊索瘤1例. 术后1例出现脑脊液耳漏,1例出现感染,