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目的:探讨枕大孔区肿瘤的手术入路及显微外科治疗。方法:显微手术切除枕大孔区肿瘤28例,其中24例采用枕下后正中入路,4例采用改良的远外侧入路。结果:手术27例全切,1例次全切。无手术死亡,及手术致残。27例患者术后症状消失,恢复良好。1例患者术后出现呼吸困难、经气管切开,呼吸机辅助呼吸后恢复。结论:采取适合的手术入路及显微外科治疗可以提高枕大孔区肿瘤的全切率及临床疗效。
Objective: To investigate the surgical approach and microsurgical treatment of tumor in the foramen magnum. Methods: Microsurgical resection of 28 cases of tumor in the foramen magnum, including 24 cases of suboccipital posterior median approach, 4 cases of modified far lateral approach. Results: 27 cases of complete resection, 1 case of subtotal cut. No operative death, and surgical disability. The symptoms of 27 patients disappeared and recovered well. One patient had dyspnea after operation, was tracheotomized, and ventilator assisted respiration. Conclusion: The appropriate surgical approach and microsurgical treatment can improve the total cut rate and clinical curative effect of the tumor in the foramen magnum.