累及颅底肿瘤的手术切除及入路选择_吴跃煌.pdf

2002 4 372 　Chin J Otorhinolaryngol, A ril 2002, Vol 37, No.2 ·95 · ·· 吴跃煌　祁永发　唐平章　徐震纲 【】　　。　 1993～2000 84 , , , 、, 。　6～78 , 43.8 。14 , 70 。 38 ;、7 ;、13 ; 26 。60 。6 , 2 , 3 , 。3 67.5%(27/40)。　 , , :①;② 、;③; ④。 【】　;　Surgical Procedures, O erative;　 Election for surgery access to skull base 　WUYuehuang, QI Yongfa, TANGPingzhang, XUZhengang.Cancer Hospital, ChineseAcade y of Medical Sciences, Peking Union Medical University, Beijing 100021, China Corres onding author:WU Yuehuang (Email:wuyuehuang@) 【Abstract】　Objective　To seek for a better a roach for the resection of skull base tumors.Methods　A review of 84 skull base tumors resection em loyed unlike o erative a roach in the Cancer Hos ital of Chinese Academy of Medical Sciences was resented.Surgical a roach feature of invaded the different osition of skull base, selects the best o erative access for safely removes the tumor, rotects the critical structure of skull base as fully as ossible, and decreases the com licationwere discussed in this article.Results　Fourteen cases of benign and seventy cases of malignant underwent surgery.The tumor in 38 cases im licated ara haryngeal s ace and skull base.The lesion synchronously involved the anterior and middle cranial fossa in 7 cases, middle and osterior cranial fossa in 13 cases, lateral cranial base in 26 cases.The survival rate at 3 years was 68.5%(27/40)for malignant tumor.There was no o erative death and severe com lication in this series.Conclusion　To select the best o eration access should think over following factors:1.Tumor osition and the sco e im licated.2.Safely and fully removal of the tumor.3.The limited destroy to normal function structure and receivable cosmetic effect.4.It is convenient to reliable reconstruction. 【Key words】　Skull base neo lasms;　Surgical rocedures, o erative;　Otorhinolaryngologic surgical rocedures 　　 。-