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目的 对 4 2例颅内外沟通瘤诊断与手术治疗进行回顾研究 ,以期进一步提高此类肿瘤的疗效。方法 全组男 31例 ,女 11例 ,年龄 11月～ 68岁 ( 32 2 )岁。颅眶肿瘤 14例 ,颅鼻沟通瘤 6例 ,颅外部分位于颞下凹者 8例 ,位于蝶窦者 2例 ,另有颈静脉孔区肿瘤 8例 ,枕骨大孔区 4例。全部病人均行CT或MRI检查 ,35例行术前颈外供瘤血管检塞术。采用显微外科技术与不同手术入路切除肿瘤。结果 手术全切者 2 8例 ,大部切除者 14例 ,手术无死亡。随访 7月～ 7年 ,2 4例完全恢复健康 ,8例生活需要照顾 ,5例有不同程度恢复。结论 颅内外沟通肿瘤症状多样 ,易误诊误治 ,需提高警惕 ;采用多学科联合与显微外科技术分块切除肿瘤 ,可直接改善手术治疗的效果。
Objective To retrospectively study the diagnosis and surgical treatment of 42 intracranial and extracranial tumors in order to further improve the efficacy of this kind of tumor. Methods The whole group of 31 males and 11 females, aged from November to 68 years (32 2 years). 14 cases of cranio-orbital tumor, 6 cases of cranio-nasal tumor, 8 cases of extracranial part located in infratemporal area, 2 cases of sphenoid sinus, 8 cases of jugular foramen tumor and 4 cases of foramen magnum. All patients underwent CT or MRI examination, 35 cases of preoperative external jugular angioplasty. Using microsurgical techniques and different surgical approach to remove the tumor. Results 28 cases of surgical resection were 28 cases, 14 cases of most resections, surgery without death. Followed up for 7 months to 7 years, 24 cases recovered completely, 8 cases needed care, and 5 cases recovered to some extent. Conclusion Intracranial and extracranial tumors have various symptoms and are easy to be misdiagnosed and mistakenly treated. It is necessary to be vigilant. Using multidisciplinary and microsurgical techniques to block the tumor, it can directly improve the effect of surgical treatment.