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[颅底中央区巨大表皮样囊肿的显微外科治疗]

[Microsurgical treatment of giant epidermoid cysts in the central region of the skull base].

作者信息

Lu Ming, Liu Yun-Sheng

机构信息

Department of Neurological Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2007 Feb;32(1):124-6.

Abstract

OBJECTIVE

To explore microsurgical treatment of giant epidermoid cysts in the central region of the skull base in 36 cases.

METHODS

The clinic characteristics and the operation experience about the microsurgical treatment of giant epidermoid cysts in the central region of the skull base were retrospectively analyzed.

RESULTS

In the 36 cases, 32 had total removal of the tumor, and the other 4 experienced subtotal removal. Thirteen presented nerve system damage or nerve damage aggravation, but there was no operative mortality.

CONCLUSION

According to the epidermoid cyst area, the ratio of total resection can be elevated and the complication can be lowered by suitable approach and microneurosurgical technique.

摘要

目的

探讨36例颅底中央区巨大表皮样囊肿的显微外科治疗。

方法

回顾性分析颅底中央区巨大表皮样囊肿的临床特点及显微外科治疗的手术经验。

结果

36例中,32例肿瘤全切除,4例次全切除。13例出现神经系统损害或神经损害加重,但无手术死亡病例。

结论

根据表皮样囊肿范围,采用合适的入路及显微神经外科技术,可提高全切除率并降低并发症。

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