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目的 探讨颅底肿瘤的显微手术治疗方法。方法 总结 86例颅底肿瘤的临床表现、影像学特征及显微手术治疗的经验。结果 肿瘤全切除 69例 ,次全切除 11例 ,部分切除 4例 ,死亡 2例 ;术前颅神经功能损伤 64例 72条 ,术后恢复 3 8条 ,好转 11条 ,症状无改善 14条 ,加重 9条 ,新颅神经损伤 7条。结论 显微手术切除颅底肿瘤是更为安全和有效的治疗方法 ;熟练的显微外科技术和技巧 ,是提高肿瘤全切除率 ,降低手术病死率和颅神经损伤率的关键
Objective To investigate the microsurgical treatment of skull base tumors. Methods The clinical manifestations, imaging features and microsurgical treatment of 86 cases of skull base tumors were summarized. Results Total resection of the tumor in 69 cases, subtotal resection in 11 cases, partial resection in 4 cases and death in 2 cases; preoperative cranial nerve dysfunction in 64 cases of 72, postoperative recovery of 38, improved in 11, no improvement in symptoms of 14, Increased 9, 7 new cranial nerve injury. Conclusion Microsurgical resection of the skull base tumor is a safer and more effective method of treatment. Skilled microsurgery techniques and techniques are the key to improving the total tumor excision rate and reducing the operative mortality and cranial nerve injury rate