一个当代的临床解剖学指南椎结节手术
Alexander Spiessberger1, Basil Gruter2, Giyarpuram Prashant3
1North Shore University Hospital, Manhasset, New York, United States.
Journal of neurological surgery. Part B, Skull base
|July 5, 2023
概括
椎关病变的手术治疗是复杂的. 三种骨底部方法 - - 远侧,前侧和内镜远中侧 - - 为腹腔和腹侧病理提供安全有效的选择.
科学领域:
- 神经外科 神经外科
- 头骨底部手术 头骨底部手术
- 头骨椎间交叉口的解剖学 头骨椎间交叉口的解剖学
背景情况:
- 腹部和腹部侧面的椎结病变带来了重大的外科手术挑战.
- 目前的手术选择包括远侧,前侧和内镜远中间方法.
研究的目的:
- 为了分析三个头骨基底的外科解剖学,接近椎结.
- 审查手术病例,以了解每个方法的指示和并发症.
主要方法:
- 使用微手术和内镜技术进行尸体解剖,以记录关键的解剖标志.
- 对六例患者病例的综述,包括全面的成像和手术内文档.
主要成果:
- 这三种方法都适用于安全治疗各种瘤和血管病理.
- 最佳方法的选择取决于解剖学的考虑,病变特征和瘤生物学.
结论:
- 手术前的3D插图有助于确定最佳的手术走廊.
- 对脊节解剖学的全面了解使得腹部病变的安全手术管理成为可能.
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