摘要
目的:探讨经颅入眶治疗颅眶沟通性脑膜瘤的临床疗效。方法:总结23例经颅入眶显微手术治疗颅眶沟通性脑膜瘤的临床资料,对疾病的病理生理特点及诊治效果进行临床分析。结果:全部患者均顺利完成手术,肿瘤全切21例,次全切除1例,部分切除1例。术后突眼皆有明显改善,9例患者眼球活动障碍改善;6例患者术后出现动眼麻痹,4例术后出现上睑下垂,均于术后6个月内恢复。术后无颅内感染、眼球内陷、脑脊液漏,搏动性突眼等严重并发症的发生及手术死亡患者。结论:采用经颅入眶显微手术治疗颅眶沟通性脑膜瘤,具有良好的临床疗效,但是要注意术后并发症的发生,确保治疗效果。
Objective：To investigate the methods and clinical efficacy of the treatment of the cranial orbital meningiomas by transcranial orbital approach.Methods：To sum up the clinical data of 23 patients with microsurgery by transcranial orbital approach in the treatment of cranial orbital meningiomas and to analyze the pathological and physiological characteristics,diagnosis and treatment of the disease.Results：All patients were successfully completed surgery with total resection of the tumor in 21 cases,subtotal removal in 1 cases,partial resection in 1 case.Twenty-three cases of exophthalmos and 9 cases of ocular movement disorder are obviously improved.6 cases with oculomotor paralysis,4 cases of blepharoptosis were recovered in 6 months after operation.All patients survived and no serious complications such as intracranial infection,enophthalmos,cerebrospinal fluid leakage,pulsating exophthalmos were occurred.Conclusion：It has good clinical effect,but we should pay attention to the occurrence of postoperative complications,and to ensure the therapeutic effect of the treatment of the patients with cranial orbital meningioma.
作者
李成
张虹
吴宇平
吕杨成
刘劲松
马杰科
朱江
汤磊
张翔宇
Li Cheng;Zhang Hong;Wu Yu-ping;Ly Yang cheng;Liu Jin song;Ma Jie-ke;Zhu Jiang;Tang Lei;Zhang Xiang yu(Department of Neurosurgery, Sichuan Cancer Hospital, Sichuan Chengdu 610041)
出处
《四川生理科学杂志》
2017年第4期220-222,共3页
Sichuan Journal of Physiological Sciences
关键词
颅眶沟通性脑膜瘤
经颅入眶
显微外科手术
Cranial orbital meningioma
Transcranial orbital approach
Microsurgery
