枕大孔区肿瘤的显微外科治疗
Chinese Journal of Neurosurgery(2012)
Abstract
目的探讨枕大孔区肿瘤显微外科治疗。方法显微手术治疗枕大孔区肿瘤共22例,其中采用远外侧入路18例,枕下后正中入路4例。病理类型:脑膜瘤13例,神经鞘瘤6例,脊索瘤、脉络丛乳头状瘤、血管外膜细胞瘤各1例。结果肿瘤全切除17例,次全切除5例,无手术死亡。术后症状全部缓解13例,明显好转9例。随访1.5-2年,其中无任何症状16例,遗有轻度颅神经功能障碍4例,生活自理1例,部分自理1例,本组患者无肿瘤复发。结论采用显微外科技术可提高枕大孔区肿瘤的治疗效果。
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Key words
Surgical approach,Microsurgical treatment,Tumour of the foramen magnum
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