摘要
目的探讨单侧额下入路与双侧额下入路切除体积较大嗅沟脑膜瘤(最大直径≥3 cm)的手术效果是否存在差异,进而明确单侧额下入路在嗅沟脑膜瘤手术中是否具有优势。方法回顾性分析我科收治的69例嗅沟脑膜瘤患者,分别经单侧额下入路或双侧额下入路显微手术治疗,比较2种入路手术切除程度及术后并发症等。结果所有肿瘤均全部切除(SimpsonⅠ级或Ⅱ级),而经单侧额下入路术后并发症的发生率较双侧额下入路低。结论单侧额下入路治疗嗅沟脑膜瘤可以取得令人满意的手术效果。
Abstract Objective To compare the operative results of removing large olfactory groove meningiomas （diameter≥ 3 cm） using either a unilat- eral or bilateral subfrontal approach ; and to determine whether there is an advantage in the unilateral approach. Methods Sixty-nine cases of large olfactory groove meningioma, treated in our department, by either a unilateral or bilateral subfrontal approach microsurgery were retrospec- tively reviewed. Removal grading, post-operative complications, and other clinical indices were evaluated. Results Total resection （SimpsonⅠ or Ⅱ ） was achieved in all the cases. There were lesser complications with use of the unilateral subfrontal approach. Conclusion Patients with ol- factory groove meningioma have a good prognosis when a unilateral subfrontal approach is used for surgery.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2017年第5期418-421,共4页
Journal of China Medical University
基金
辽宁省自然科学基金(2015020460)
教育部留学回国人员科研启动基金(教外司留[2013]1792)
中国博士后科学基金(2016M590240)
关键词
嗅沟脑膜瘤
单侧额下入路
显微手术
olfactory groove meningioma
unilateral subfrontal approach
microsurgery
