中国临床神经外科杂志2024,Vol.29Issue(7) :434-436,441.DOI:10.13798/j.issn.1009-153X.2024.07.011

经鼻蝶入路神经内镜术后颅底修复方法

Methods of skull base reconstruction after endoscopic surgery via transnasal approach

曾福兵 刘西 杨华东
中国临床神经外科杂志2024,Vol.29Issue(7) :434-436,441.DOI:10.13798/j.issn.1009-153X.2024.07.011

经鼻蝶入路神经内镜术后颅底修复方法

Methods of skull base reconstruction after endoscopic surgery via transnasal approach

曾福兵 1刘西 1杨华东1
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作者信息

  • 1. 611930四川,彭州市中医医院神经外科
  • 折叠

摘要

随着神经内镜技术的发展,经鼻蝶入路神经内镜手术的适应证迅速扩大,包括颅底肿瘤、鞍外肿瘤.与传统的开颅手术相比,扩大经鼻蝶入路神经内镜手术(EEA)具有更好的肿瘤切除率和术后神经功能.然而,术后脑脊液(CSF)漏风险高,会导致危颅内感染,甚至危及病人的生命.术后颅底修复对减少CSF漏意义重大.目前,血管化鼻中隔皮瓣的使用显著降低了术后CSF漏的发生率.本文就近年来颅底重建方法的最新进展进行综述,为临床提供参考.

Abstract

With the development of neuroscope technology,the indications for endoscopic surgery through the transnasal approach have expanded rapidly,including extra-sellar tumors and skull base tumors. Compared with traditional craniotomy,expanded endoscopic approach (EEA) has better tumor resection rate and postoperative neurological function. However,the risk of cerebrospinal fluid (CSF) leak after surgery is high,which can lead to dangerous intracranial infection and even endanger the patient's life. Postoperative skull base reconstruction is of great significance in reducing CSF leak. Currently,the use of vascularized nasal septal flaps has significantly reduced the incidence of postoperative CSF leak. This review summarizes the latest advances in skull base reconstruction methods,providing clinical references.

关键词

神经内镜手术/经鼻蝶入路/颅底重建/脑脊液漏

Key words

Expanded endoscopic approach (EEA)/Skull base reconstruction/cerebrospinal fluid (CSF) leak

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出版年

2024
中国临床神经外科杂志
广州军区武汉总医院

中国临床神经外科杂志

CSTPCD
影响因子:0.781
ISSN:1009-153X
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