【摘要】：目的：探討CT骨窗位神經(jīng)導(dǎo)航對(duì)顳下經(jīng)小腦幕入路切除巖斜區(qū)腫瘤的臨床意義。方法：對(duì)比16例未使用神經(jīng)導(dǎo)航和27例使用骨窗位神經(jīng)導(dǎo)航的巖斜區(qū)腫瘤患者的手術(shù)結(jié)果，均采用顳下經(jīng)小腦幕入路對(duì)巖斜區(qū)腫瘤進(jìn)行切除。結(jié)果：未導(dǎo)航組16例患者中,6例達(dá)到顯微鏡下全切，8例次全切除，2例大部分切除；導(dǎo)航組27例患者中,16例達(dá)顯微鏡下全切，10例次全切除，1例大部分切除。結(jié)論：CT骨窗位神經(jīng)導(dǎo)航定位精確，術(shù)中實(shí)時(shí)導(dǎo)航，有助于最大程度安全磨除巖骨，安全增加暴露，減少乙狀竇、骨性半規(guī)管及神經(jīng)組織等損傷，，改善患者預(yù)后。
[Abstract]:Objective: to investigate the clinical significance of CT neuronavigation in the resection of petroclival tumors via subtemporal tentorial approach. Methods: the surgical results of 16 patients with petroclival tumors without neuronavigation and 27 patients with oblique petrosal tumors without neuronavigation were compared. The tumors of the oblique petroclival region were resected by subtemporal approach via tentorial cerebellum. Results: of the 16 patients without navigation, 6 had total resection under microscope, 8 had subtotal resection, and 2 had partial resection, while in navigation group, 16 had total resection under microscope, 10 had total resection and 1 had partial resection. Conclusion: CT bone-window neuronavigation and real-time navigation during operation are helpful to remove petrosal bone safely increase exposure reduce sigmoid sinus osseous semicircular canal and nerve tissue and improve prognosis of patients.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R739.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 書(shū)國(guó)偉;王勇;;巖斜區(qū)手術(shù)入路[J];國(guó)際神經(jīng)病學(xué)神經(jīng)外科學(xué)雜志;2008年02期

2 肖新如;吳震;張力偉;賈桂軍;湯R

本文編號(hào)：2262144