协和医学杂志

2017, v.8(06) 342-345

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侧颅底手术过程中脑及颅神经功能保护
Functional Protection of Cranial Nerves and the Brain during Lateral Skull Base Surgery

高志强;
GAO Zhi-qiang;Department of Otolaryngology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

手术是绝大部分侧颅底病变的首选治疗方式。因侧颅底解剖结构复杂,毗邻脑及重要血管神经,手术容易致死或致残,限制了该部位手术的实施。脑、后组颅神经、面神经、听力功能是该部位手术保护的重点,恰当处理功能保留和切除病变的关系、良好的外科操作技能以及合理使用介入、导航等新的辅助技术是侧颅底手术中实现器官功能保护的关键。
Surgery is the preferred treatment for most lateral skull base lesions. Due to the complexity of the anatomical structure of lateral skull base and its close adjacency to important blood vessels,cranial nerves and the brain,surgery prones to induce deadly or disabling complications,which limit the implementation of the surgery. Brain function,low cranial nerves,facial nerve and hearing are the priorities that should be taken care of during surgery. The key points for functional protection of organs include: a good balance between preservation of functions and resection of lesions,skillful surgical technique,and new instruments or equipment such as image navigation and interventional therapy.

关键词(KeyWords): 侧颅底外科;脑;颅神经;颈内动脉;脑脊液
lateral skull base surgery;brain;cranial nerve;internal carotid artery;cerebrospinal fluid

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作者(Author): 高志强;
GAO Zhi-qiang;Department of Otolaryngology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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