摘要
目的探讨鞍结节脑膜瘤的显微手术治疗方法和疗效。方法回顾分析该科室2009年9月-2012年9月共手术治疗鞍结节脑膜瘤23例,直径小于3 cm肿瘤的肿瘤选择单侧额下入路切除,直径大于3厘米的肿瘤选择双侧额底纵裂入路切除。结果按Simpson分级,5例肿瘤行Ⅰ级切除,16例肿瘤行Ⅱ切除,2例肿瘤Ⅲ级切除。术后2例视力下降;3例患者视力视野术后及随访期内均未见变化;余14例患者视力视野均在术后或随访过程中不同程度改善（19例以视力下降及视野缺损为主要表现）,手术无死亡。结论选择合适的手术入路,良好的手术策略,术中辨认肿瘤与正常结构间蛛网膜界面,保护好血管和神经,是安全切除鞍结节脑膜瘤的保障。
【Objective】To investigate the microsurgical treatment and its operative effect on the tuberculum sellae meningiomas. 【Methods】A retrospective analysis of 23 cases with tuberculum sellae meningiomas treated microsurgically was performed from 2009.09 to 2012.09. 10 patients（diameter≤3 cm） underwent surgery through subfrontal approach, 13 patients（diameter 3 cm） through fronto-basal interhemispheric approach.【Results】According to the Simpson classification, Simpson Grade Ⅰresection was achieved in 5 cases, Simpson Grade Ⅱ resection in 16 cases, Simpson Grade Ⅲ resection in 2 cases. Postoperatively, the visual damage and optic field defect were recovered in 14 cases, while 3 cases were unchanged and 2 cases were deteriorated in visual acuity. 【Conclusions】Selection of the appropriate approach and surgical strategy, identification of the arachnoid membrane interface between the tumor and normal structure, preservation of arteries and nerves are important for safe tumor resection.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第25期72-75,共4页
China Journal of Modern Medicine
关键词
鞍结节
脑膜瘤
显微手术
tuberculum sellae
meningioma
microsurgery
