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- clivus monticuli [医] 小脑山坡, 小脑小山
- To expose the clivus, it is often necessary to split the soft palate in the midline. 为暴露斜坡,经常需要于中线分开软腭。
- Lesions extending to the upper third of the clivus may be biopsied or partially removed through this approach. 通过此入路可对扩展到斜坡上三分之一的病变行活检或部分切除。
- This opens a route through the nasal and oral cavities to the clivus, foramen magnum, and upper cervical area. 该入路通过开放一个经鼻腔和口腔的通道到达斜坡、枕骨大孔以及上颈部。
- Results Bone cortical of normal clivus was intact with hypointensity, but bone marrow were appeared as hypo, hyper or mixed intensity. 结果正常斜坡骨皮质呈完整的低信号,骨髓则呈低、混杂或高信号;
- Methods The far lateral suboccipital approach was used in 14 patients with tumors of the upper cervical spinal canal and inferior clivus. 方法对14例高颈段椎管内外哑铃型肿瘤及下斜坡肿瘤,采用外侧枕下入路进行手术切除。
- Objective:To discuss a transethmoidal surgical approach for chordomas involving the clivus and the sella turcica region . 目的:探讨斜坡及鞍底巨大脊索瘤的手术治疗方法。
- Conclusion MRI can well demonstrate the size, shape and extension of the clivus tumor, and therefore, it is very useful in evaluating clivus tumor. 结论MRI能很好地显示斜坡肿瘤的大小、形态及其侵犯范围,有利于肿瘤的诊断。
- Conclusion The far lateral approach was highly effective to lesions of lower clivus and anterior portion of the craniocervical junction. 结论远外侧手术入路是治疗下斜坡和颅颈交界区腹侧病变的有效方法。
- Objective To discuss the outcome of the far lateral approach to lesions of lower clivus and anterior portion of the craniocervical junction. 目的总结下斜坡和颅颈交界区腹侧病变的手术方法和效果。
- Conclusion: CT and MRI which vertral to clivus should enable to diagnose early transtentorium herniation, it is important to make treatment plan. 结论:平行斜坡垂线CT及MRI均可对早期小脑幕疝做出诊断,对指导制定治疗方案具有重要意义。
- Methods The sublabial transseptal,transsphenoidal approach assisted by endoscope were applied in 16 cases which invasive middle and lower clivus. 方法采用经口鼻蝶窦入路切除向中下斜坡发展的垂体腺瘤16例,术中配合神经内镜观察,术后复查影像学资料、内分泌水平等评估手术效果。
- To analyze the clivus characteris tics of bo ne marrow in MRI and to provide a useful guidance for imaging diagnosis of base of skull . 目的:分析斜坡骨髓的磁共振成像(MRI)信号特点,为颅底影像学提供帮助。
- The transsphenoidal approach along the nasal septum may be used to expose the upper third of the clivus (Figs. 6.9-6.11 and 6.17) (10). 经蝶入路可沿鼻中隔显露斜坡上三分之一。
- Depending on the lesion, the clivus, the anterior arch of the atlas, the dens, and bodies of C2 and C3 may be removed with a drill and rongeurs. 视病变情况,斜坡、寰枕前弓、齿状突、C2、C3椎体可以用磨钻或咬骨咬骨钳切除。
- Results On MRI, the normal clivus was replaced by tumor tissue showing as inhomogeneous signal intensity and exhibiting heterogeneous enhancement. 结果斜坡肿瘤在MRI上表现为正常斜坡被肿瘤组织所替代,信号不均匀,呈不均一强化;
- Conclusion: The nerve must be identified and protected in the operation of clivus, cavernous sinus and lesser sphenoid wing. 结论:在枕骨斜坡区、海绵窦上缘和蝶骨小翼外下方手术时,应特别注意辨认和保护动眼神经。
- Conclusion Surgery of the clivus appears to be worthwhile procedure for improving outcome of the patients with advanced clival tumors. 恶性肿瘤2年以上生存率为73.;7%25(14/19)。结论斜坡肿瘤的外科治疗,必要时配合放射治疗和化学治疗可明显提高患者生存率和生存质量。
- Invasive pituitary adenoma is a common pituitary adenoma invading nearby structures such as the sphenoidal sinus, ethmoidal sinus,upper clivus,sellar floor dura and bone. 侵袭性垂体腺瘤是垂体腺瘤中常见的一种类型,其特点为肿瘤侵犯蝶筛窦、上斜坡、鞍底骨质及硬脑膜。
- When elevating the mucoperiosteal layer from the clivus, the lateral margins slope dorsally into “gutter-like” depressions in which the tissue becomes thicker and more adherent. 自斜坡上翻开粘膜骨膜层时,其侧缘向背侧倾斜进入“槽样”窝,此处组织变厚并粘连更加紧密。