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岩斜区肿瘤由于病变部位深在,周围神经血管结构复杂,许多作者对其手术入路进行了多种探讨。其主要入路有额颞-眶-颧弓联合入路、改良颞下入路、颞下经”锁孔”入路、颞下经颧弓入路、前颞下经岩骨内侧入路、迷路后入路、扩大的迷路后入路、经半规管脚入路、经耳蜗入路、迷路后硬膜内内听道上入路和幕上下联合入路,通过不同的颅底入路,获得岩斜区部位肿瘤的最佳显露,并减轻了对脑组织和颅神经及重要血管结构的牵拉和损伤。
Due to the deep lesions in the petroclival region and the complicated structure of the peripheral nerve blood vessels, many authors have conducted many discussions on the surgical approach. The main approach is frontotemporal - orbital - zygomatic arch joint approach to improve the infratemporal approach, infratemporal “keyhole” approach, infratemporal zygomatic arch approach, anterior inferior temporal approach through the petrous bone, After the labyrinthine approach, the enlarged labyrinthine approach, the semicoduct approach, the cochlear approach, the labyrinthine larynx approach, the supratentorial approach and the supratentorial approach, through different cranial approach, obtain the rock The best exposure of the tumor in the oblique area is to alleviate the pulling and injury to the brain and the cranial nerves and important vascular structures.