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目的 :对 12例颅底沟通瘤的手术入路及治疗经验进行总结。方法 :对手术治疗的 12例颅底沟通瘤进行回顾性分析。全部患者均行 CT或 MRI检查 ,1例行 DSA检查。采用不同手术入路和显微外科技术切除肿瘤。结果 :手术全切除 10例 ,次全切 2例 ,手术效果好 ,无手术死亡及严重并发症。结论 :颅底沟通瘤症状多样 ,易误诊误治。根据肿瘤位置、侵犯范围选择适当手术入路。采用多学科联合与显微外科技术有利于广泛切除肿瘤。颅底重建是改善手术效果关键之一。
Objective: To summarize the surgical approach and treatment experience of 12 cases of skull base tumor. Methods: The surgical treatment of 12 cases of skull base tumor were retrospectively analyzed. All patients underwent CT or MRI examination, DSA examination in 1 case. Tumors were removed using different surgical approaches and microsurgical techniques. Results: The total resection in 10 cases, subtotal 2 cases, the effect is good, no operative mortality and serious complications. Conclusion: The symptoms of skull base tumor are diverse and misdiagnosis and mistreatment are common. According to the location of the tumor, the scope of violations select the appropriate surgical approach. The use of multidisciplinary joint and microsurgical techniques facilitates extensive excision of tumors. Skull base reconstruction is one of the keys to improve the effectiveness of surgery.