经口咽入路切除巨大斜坡肿瘤一例报告.PDF

临床与病理杂志 2015, 35(7) 1432 J Clin Path ol R e s doi: 10.3978/j.issn.2095-6959.2015.07.044 View this article at: /10.3978/j.issn.2095-6959.2015.07.044 经口咽入路切除巨大斜坡肿瘤一例报告 1* 2* 1 3 4 1 梁金 ，张敏 ，陈天立 ，谢宇平 ，陶峰 ，秦岭 (甘肃省人民医院 1. 神经外科; 2. 病理科; 3. 耳鼻喉科；4. 口腔颌面外科，兰州 730000) [摘　要] 目的：探讨斜坡肿瘤的临床特点和手术治疗，以提高治疗效果。 方法：对甘肃省人民医院神经外 科经口咽入路切除巨大斜坡肿瘤 1例病例的临床及手术资料进行回顾性分析。 结果：本例患者主 因吞咽困难、声音嘶哑2 年，加重伴左颈肩部疼痛2个月入院，影像学检查提示中下斜坡巨大占位 性病变，向后压迫桥脑和延髓，向前推挤咽后壁软组织，鼻咽腔变窄，颅底斜坡、左侧颞骨和寰 椎左侧骨质破坏。在耳鼻喉科、口腔颌面外科医生的协助下为患者施行了经口咽入路斜坡肿瘤切 除术。术后患者临床症状明显缓解。病理检查提示为脊索瘤。结论：手术入路的选择、多学科协 作、熟练的手术技巧是手术成功的重要因素。 [关键词] 斜坡肿瘤；脊索瘤；经口咽入路；多学科协作 Case report: giant clival tumor resection via transoral approach 1* 2* 1 3 4 1 LIANG Jin , ZHANG Min , CHEN Tianli , XIE Yuping , TAO Feng , QIN Ling (1. Department of Neurosurgery; 2. Department of Pathology; 3. Department of Otorhinolaryngology; 4. Department of Oral and Maxillofacial Surgery, Gansu Provincial People’s Hospital, Lanzhou 730000, China) Abstract Objective: To explore the clinical characteristics and surgical treatment of clival tumor, so as to improve the outcome. Methods: A case of clival tumor resection through transoral approach in the department of neurosurgery, Gansu Provincial People’s Hospital was retrospectively analyzed. Results: The patient was admitted for dysphagia, hoarseness for 2 years and the aggravation of the diseases accompanied the pain of the left neck a