[1]周辉,施辉,李爱民,等.双骨瓣成形在乙状窦前入路脑肿瘤切除术中的应用（附14例报告）[J].中国微创外科杂志,2008,08(4):364-367.
　Zhou Hui,Shi Hui,Li Aimin,et al.Application of Double Flap Reconstruction to Craniectomy through Transpetrosalpresigmoid Approach for Petroclival Tumor: Report of 14 Cases[J].Chinese Journal of Minimally Invasive Surgery,2008,08(4):364-367.
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双骨瓣成形在乙状窦前入路脑肿瘤切除术中的应用（附14例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年4期
页码:
364-367
栏目:
出版日期:
2008-10-26

文章信息/Info

Title:
Application of Double Flap Reconstruction to Craniectomy through Transpetrosalpresigmoid Approach for Petroclival Tumor: Report of 14 Cases
作者:
周辉; 施辉; 李爱民; 陈覃; 江伟; 陈军; 王富元
江苏省连云港市第一人民医院神经外科，连云港222000
Author(s):
Zhou Hui;  Shi Hui;  Li Aimin;  et al.
Department of Neurosurgery, First People’s Hospital of Lianyungang, Lianyungang 222000, China
关键词:
双骨瓣成形术; 乙状窦前入路
Keywords:
Double flap reconstruction; Transpetrosalpresigmoid approach
分类号:
R739.41
文献标志码:
A
摘要:
目的探讨经岩骨-乙状窦前入路切除岩斜区肿瘤双骨瓣成形的临床效果。方法对14例岩斜区肿瘤采用经岩骨-乙状窦前入路行肿瘤切除双骨瓣成形术，先取颞枕游离骨瓣（乙状窦后），再通过磨钻，游离出乳突表面骨瓣（乙状窦前）。保留骨性半规管、耳蜗的完整性，避免将乳突及岩骨根部大部分切除。结果肿瘤全切除8例，次全切除3例，部分切除3例。术后2例脑脊液耳漏，无皮下积液、颅内感染等并发症，无死亡。14例术后3、6个月随访，无并发症发生。结论经岩骨-乙状窦前入路手术中采用双骨瓣成形术后脑脊液漏、皮下积液、颅内感染等并发症少，手术创伤小，安全性高。
Abstract:
ObjectiveTo evaluate the efficacy of double flap reconstruction after craniectomy through transpetrosalpresigmoid approach in the treatment of petroclival tumor.MethodsA total of patients with petroclival tumor were enrolled in this study. Craniectomy was performed on them through the transpetrosalpresigmoid approach, and then double flap reconstruction was carried out. After the temporooccipotal free osseous flap (retrosigmoid flap) was obtained, the superficial flap of the mastoid process (presigmoid flap) was freed by grinding and drilling. During the operation, partial petrosectomy and mastoidectomy were avoided to protect the semicircular canals and cochlea.ResultsAmong the 14 cases, radical resection of the tumor was performed on 8 patients, subtotal resection on 3, and partial resection on 3. Two patients developed CSF leak through the ear. No subcutaneous hydrops or intracranial infection was found in the patients. The patients were followed up at 3 and 6 months after the operation, during which no complications were detected.ConclusionsThe rates of CSF leak, subcutaneous hydrops, and intracranial infection are low after applying double flap reconstruction to craniectomy through the transpetrosalpresigmoid approach. The procedure are miniinvasive and safety.

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更新日期/Last Update: 2013-10-22