摘要
目的探讨显微手术治疗鞍结节脑膜瘤的疗效和预后影响因素。方法回顾性分析2000年1月至2007年1月鞍结节脑膜瘤手术病例38例。男12例，女26例，年龄24～69岁，平均36．5岁。所有患者术前、术后均行头颅CT和（或）MRI检查。视力、视野障碍为其主要临床表现。经单侧额下入路13例，经翼点入路17例，经额纵裂入路8例。结果本组手术全切除32例，次全切除6例。视力较术前明显改善30例，无明显变化6例，视力加重2例，围手术期死亡1例。17例患者获得随访3个月-5年，14例生活自理，3例需照顾，其中随访期内复发1例，第1次手术2年后再次手术。结论根据肿瘤不同生长方式选择恰当的手术入路及手术策略，娴熟的显微外科技术及经验，是提高肿瘤全切除率，减少并发症的关键因素，术后视力恢复程度与手术技术、术前视力受累时间及程度密切相关。
Objective The surgical efficacy for patients with tuberculum sellae meningiomas was evaluated. Prognostic factors were also discussed with special attention. Methods Data in a consecutive series of 38 patients with tuberculum sellae meningiomas treated microsurgically between 2000 and 2007 were retrospectively reviewed. Results Complete resection was achieved in 32 out of 38 （ 84% ）, subtotal in 6 patients（ 16% ）, a perioperitive mortality rate of 2. 6%, Vision improved in 30 patients, remained unchanged in 6 patients, and deteriorated in 2 patients. The follow up period of patients ranged from 3 months to 5 years. 14 patients resumed normal life activity and l recurrenced tumor was observed and reoperated. Conclusions Total resection may be achieved through an appropriate approach with minimal complications. Microsurgical technique, duration and severity of visual symptoms are well correlated with a dismal visual outcome.
出处
《中华神经外科杂志》
CSCD
北大核心
2008年第2期130-132,共3页
Chinese Journal of Neurosurgery
关键词
脑膜瘤
鞍结节
显微外科手术
Meningiomas
Tuberculum sellae
Microsurgery
