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A Combined Transcranial-Transtemporal-Transcervical Approach to Complex Lateral Skull Base Tumors
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摘要: 侧颅底解剖复杂，病种庞杂，手术入路多样，虽然现有的手术入路可以处理大部分病变，但若遇到病变跨区域生长的情况，即需采用联合入路进行处理。本文介绍一种适用于处理复杂侧颅底病变的颅-耳-颈联合入路。Abstract: Skull base anatomy is complicated. There are numerous diseases related to skull base, and surgical approaches to them are diverse. Although existing surgical approaches can manage most cases, a combined approach is required for transregional lesions. This article introduces a transcranial-transtemporal-transcervical approach to manage complex skull base tumors.作者贡献：杨仕明负责论文设计和内容审核；申卫东、吴南负责文献查阅、论文撰写及修订。利益冲突：无
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图 1 患者女性，48岁，因复发性内淋巴囊肿瘤拟行颅-耳-颈联合入路切除肿瘤，术前影像学评估结果(箭头)
A.CT示病变累及颞骨、枕骨基底，可见嵴状突起；B.MRI T1加权成像示病变呈混杂信号，累及颅中窝并突入后颅窝；C.MRI T1+C示病变不均匀强化；D.冠状位MRI T2加权成像示肿瘤位于颅中窝、颞骨、颈静脉孔并突入后颅窝
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