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[经鼻内镜入路手术治疗颅底斜坡区脊索瘤(附2例报告)]

[Endoscopic transnasal approach for surgical treatment of skull base clival area chordomas (Report of 2 cases)].

作者信息

Ma J, Fang P, Wang D, Liu Y J

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Feb;32(3):230-232. doi: 10.13201/j.issn.1001-1781.2018.03.019.

Abstract

The case 1 performanced submandibular trauma because of the faint Suddenly. There were no obvious abnormality in physical examination. CT result showed that the tumour located in the lower clivus, and the atlas was infringed. MRI imaging showed the tumour located in the both sides of the internal carotid artery, infringed clivus and atlas front, forwarded into the nasal cavity and oral cavity. The case 2 performanced the left nose stuffy and increased gradually, nasopharyngeal mirror showed the left nasal cavity filled with new life. CT showed the lesions located in the cranial fossa under the sella turcica and sphenoid bone, down into the sphenoid sinus and the nasopharyngeal cavity. MRI imaging showed the lesions located in the front of clivus. According to the CT and MRI imaging features before surgery, the two cases adopted endoscopic transsphenoidal approach, and the postoperative pathology were chordoma in the central line of the skull base.

摘要

病例1因突然昏厥出现下颌下创伤。体格检查无明显异常。CT结果显示肿瘤位于斜坡下部,寰椎受侵犯。MRI成像显示肿瘤位于颈内动脉两侧,侵犯斜坡和寰椎前部,向前延伸至鼻腔和口腔。病例2表现为左侧鼻塞且逐渐加重,鼻咽镜检查显示左侧鼻腔充满新生物。CT显示病变位于蝶鞍和蝶骨下方的颅窝,向下延伸至蝶窦和鼻咽腔。MRI成像显示病变位于斜坡前方。根据术前CT和MRI成像特征,两例均采用经鼻内镜蝶窦入路,术后病理均为颅底中线脊索瘤。

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