扩大额下入路前颅底及颅底中央部的显微解剖学研究与临床-海南医学.PDF

Vol.23 No.23 December 2012 HAINAN MEDICAL JOURNAL 《海南医学》2012 年第23 卷第23 期 doi:10.3969/j.issn.1003-6350.2012.23.053 ·综 述· 扩大额下入路前颅底及颅底中央部的显微解剖学研究与临床应用 1 2* 尹有会 综述，殷尚炯 审校 (1.河北北方学院，河北 张家口 075000 ； 2. 中国人民解放军251 医院神经外科，河北 张家口 075000) 【摘要】 扩大额下入路较传统额下入路及眶上锁孔入路具有暴露范围广、术野清楚、不易损伤神经、术后复 发率低、便于颅底重建等特点，该入路治疗前颅窝底缺损、脑脊液漏方法可靠。与传统入路相比此入路取下了眉 弓，去除了部分眶顶板，术野暴露更接近颅底，对额叶牵拉极少，缩短了手术操作距离，有利于前颅底、颅底中央 部肿瘤的切除，特别是大型肿瘤的切除。 【关键词】 扩大；额下入路；前颅窝底；颅底中央部 + 【中图分类号】 R651.1 1 【文献标识码】A 【文章编号】 1003—6350（2012 ）23—119—03 Microanatomical study and clinical application of extended subfrontal approach to the anterior skull base and 1 2* the central skull base. YINYou-hui ,YINShang-jiong .1.HebeiNorthUniversity,Zhangjiakou075000,Hebei, th CHINA;2.DepartmentofNeurosurgery,the251 HospitalofPLA,Zhangjiakou075000,Hebei,CHINA 【Abstract 】 Extended subfrontal approach, compared with traditional subfrontal approach and supraorbital keyhole approach, has the advantages of wide exposure, clear operative field, low recurrence rate, which is not prone to injure the nerve and easy to reconstruction the skull base. This method is reliable to treat anterior skull-base defect and leakage of cerebrospinal fluid. It took down the superciliary arch and part of orbital roof. The exposure of the oper- ative field was more close to the skull base, and the retraction of the frontal lobe was very few. This approach shortens the operation distance, an