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目的 对 7例前、中颅底沟通瘤的手术入路及治疗经验进行总结。方法 颅眶沟通瘤 3例 ,中颅底沟通瘤 4例 ,均采取翼点及其改良入路 ,其中 5例采取硬膜外入路 ,2例结合硬膜内外入路切除肿瘤。结果 6例患者实现肿瘤全切 ,1例次全切除 ,无手术死亡。结论 翼点入路是切除前、中颅底沟通瘤的理想入路 ,具有显露充分、易于掌握和改良等优点 ;采取带蒂颞肌瓣充填肿瘤切除后的残腔 ,反折骨膜修补硬膜的颅底重建方法可以有效地防止各种并发症的发生。
Objective To summarize the surgical approach and treatment experience of 7 cases of anterior and middle skull base tumor. Methods Three cases of cranio - orbital tumor and four cases of mesial skull base tumor were adopted. All of them adopted wing points and their modified approach. Among them, epidural approach was taken in 5 cases and tumor in 2 cases combined with intradural approach. Results Six patients achieved complete tumor resection, one subtotal resection and no operative death. Conclusion The pterional point approach is the ideal approach for the tumor resection before and at the base of the skull base. It has the advantages of fully exposed, easy to grasp and improve. Adopting the pedicled temporal muscle flap to fill the residual cavity after resection of the tumor, The skull base reconstruction method can effectively prevent the occurrence of various complications.