[1]张恒柱①　 兰青②　 武永康　 张伟中　 申林海　 张宪　 许存林.锁孔入路显微手术的临床应用[J].中国微创外科杂志,2004,04(6):525-527.
　Zhang Hengzhu,Lan Qing,Wu Yongkang*,et al.Clinical application of keyhole craniotomy microsurgery[J].Chinese Journal of Minimally Invasive Surgery,2004,04(6):525-527.
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锁孔入路显微手术的临床应用
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年6期
页码:
525-527
栏目:
出版日期:
2004-06-30

文章信息/Info

Title:
Clinical application of keyhole craniotomy microsurgery
作者:
张恒柱①　 兰青②　 武永康　 张伟中　 申林海　 张宪　 许存林
扬州大学临床医学院神经外科,扬州,225001
Author(s):
Zhang Hengzhu;  Lan Qing;  Wu Yongkang*;  et al.
Department of Neurosurgery, ClinicalHospital ofYangzhou University, Yangzhou225001, China
关键词:
锁孔;  开颅手术;  显微手术
Keywords:
Keyhole; 　Craniotomy; 　Microsurgery
分类号:
R739.4
文献标志码:
A
摘要:
目的探讨锁孔入路显微手术在神经外科的应用. 方法采用相应锁孔入路对鞍区占位13例,脑膜瘤6例,高血压性脑出血5例,胼胝体区胶质瘤2例,听神经瘤2例,脑转移瘤、硬膜外血肿和C2椎管内占位各1例实施手术. 结果 25例肿瘤全切19例,次全切除6例;脑出血5例和硬膜外血肿1例均彻底清除.1例听神经瘤术后第3天因瘤腔再次出血死亡,切口下皮下积液2例,一过性尿崩3例. 结论锁孔手术具有脑暴露少,损伤小,并发症少,恢复快等优点.
Abstract:
Objective　To explore the clinical application of keyhole craniotomy microsurgery in neurosurgery.　Methods　 Corresponding keyhole approach operation was employed in 13 cases of sellar region tumor, 6 cases of meningoma, 5 cases of hypertensive cerebral hemorrhage, 2 cases of glioma of corpus callosum, 2 cases of acoustic neuroma, 1 case of metastatic cerebral tumor, 1 case of epidural hematoma and 1 case of C2intravertebral tumor.　Results　Among the 25 cases, total resection was accomplished in 19 cases and subtotal resection, 6 cases. Lesionswere all thoroughly cleared away in 5 cases of cerebral hemorrhage and 1 case of epidural hematoma. One case of acoustic neuroma died of re-bleeding in the lesion on the 3rd postoperative day. Subcutaneous dropsy took place in 2 cases and transient diabetes insipidus occurred in 3 cases.　Conclusions　Keyhole craniotomy microsurgery has the advantages of minimal exposure, micro-invasion, fewer complications and faster recovery.

参考文献/References:

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［3］尹卫,刘海生,杨占泉.内镜眶上锁孔与经鼻蝶联合入路的解剖学研究.中国耳鼻咽喉颅底外科杂志,2002,8(1):29-32.
［4］Ramos-Zuniga R,Velazquez H,Barajas MA,et al.Trans-supraorbital approach to supratentorial aneurysms.Neurosurgery,2002,51(1): 125-131.
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备注/Memo

备注/Memo:
①（苏州大学博士研究生）②（苏州大学附属第二医院神经外科,苏州,215006）
更新日期/Last Update: 2014-06-09