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目的探讨枕骨大孔区肿瘤的手术入路及技巧。方法总结我院2001年5月至2009年6月采用显微外科技术治疗12例枕骨大孔区肿瘤的经验。结果8例采用枕下正中入路,其余4例采用远外侧入路,全切除肿瘤9例,次全切除3例,无手术死亡。结论应用显微外科技术合理选择手术入路是提高肿瘤全切率、减少术后并发症,取得满意疗效的关键。
Objective To study the surgical approach and technique of the foramen magnum tumor. Methods From May 2001 to June 2009, our hospital used microsurgical techniques to treat 12 cases of foramen magnum tumors. Results 8 cases of suboccipital approach, the remaining 4 cases by far lateral approach, total removal of the tumor in 9 cases, subtotal resection in 3 cases, no operative death. Conclusion Microsurgical techniques to choose the appropriate surgical approach is to improve the rate of tumor resection, reduce postoperative complications and achieve the desired effect of the key.