摘要
目的探讨鞍区脑膜瘤显微手术的治疗效果。方法对62例行显微手术治疗的鞍区脑膜瘤患者的临床资料及手术效果进行分析总结。结果42例全切（SimpsonⅠ、Ⅱ），16例次全切（SimpsonⅢ），4例大部分切除，术中去骨瓣减压4例，无手术死亡。术后早期出现同侧动眼神经瘫12例，滑车和外展神经功能障碍8例，对侧肢体轻瘫4例。肿瘤未全切的20例中有11例术后行放射治疗。随访3—38个月，动眼神经瘫恢复5例，滑车和外展神经功能恢复3例，肢体活动障碍恢复2例。全切病例中，10例有肿瘤复发，4例行二次手术，6例行放射治疗。失访4例。结论鞍区脑膜瘤显微手术的治疗效果良好。
Objective To explore the therapeutic efficacy of microsurgery in sellar region meningiomas. Method A retrospective analysis of the clinical data and prognosis of microsurgery was performed in 62 sellar region meningioma cases. The clinical manifestations and surgical outcomes were analyzed to evaluate the significance of microsurgery. Results Of the 62 sellar region meningioma cases, total resection and sub-total resection were achieved in 42 and 16 cases, respectively. Resection of major part was obtained in 4 cases. Decompression was performed in 4 cases during the operation procedure due to brain edema. No death occurred postoperatively. At the early stage after operation, 12 patients developed the oculomotor paralysis, 8 dysfunctions of trochlear and abducent nerves ipsilateral to the tumors, and 4 hemiplegia contralateral to the tumors. Of the 20 cases whose tumors were sub-totally or partially dissected, 11 patients took radiotherapy after operation. All these patients were followed up for about 3 to 38 months, among which 5 cases recovered from the oculomotor paralysis, 3 patients recovered from the trochlear and abducent nerves paralysis, and 2 patients recovered from the hemiplegia. Of the 14 cases who suffered from tumor recurrence, 4 patients underwent second operation and 6 patients took radiotherapy. 4 patients lost follow up. Conclusions Satisfactory clinical outcome of microsurgery for sellar region meningiomas can be accomplished.
出处
《中华神经外科杂志》
CSCD
北大核心
2008年第9期646-648,共3页
Chinese Journal of Neurosurgery
关键词
脑膜瘤
显微外科手术
鞍区
Meningioma
Microsurgery
Sellar region
