CT骨窗位神经导航颞下经小脑幕入路切除岩斜区肿瘤的临床研究

发布时间：2018-10-10 14:32

【摘要】：目的：探讨CT骨窗位神经导航对颞下经小脑幕入路切除岩斜区肿瘤的临床意义。方法：对比16例未使用神经导航和27例使用骨窗位神经导航的岩斜区肿瘤患者的手术结果，均采用颞下经小脑幕入路对岩斜区肿瘤进行切除。结果：未导航组16例患者中,6例达到显微镜下全切，8例次全切除，2例大部分切除；导航组27例患者中,16例达显微镜下全切，10例次全切除，1例大部分切除。结论：CT骨窗位神经导航定位精确，术中实时导航，有助于最大程度安全磨除岩骨，安全增加暴露，减少乙状窦、骨性半规管及神经组织等损伤，，改善患者预后。
[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.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R739.4

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