摘要
目的探讨利用显微手术治疗内侧型蝶骨嵴脑膜瘤的方法及疗效。方法对32例内侧型蝶骨嵴脑膜瘤显微手术患者的临床资料进行回顾性分析。结果除4例行肿瘤部分或大部分切除外,其余肿瘤均为全切(simpson分级Ⅰ级);无手术死亡,疗效满意。结论显微手术可明显提高肿瘤全切率,减少术后并发症,降低死亡率。但对于累及颈内动脉、海绵窦的肿瘤,是否全切,取决于肿瘤与上述结构粘连的紧密程度。
Objective To explore the method and therapeutic effectiveness of microsurgery for medial sphenoidal ridge meningioma. Methods The clinical data of 32 cases with medial sphenoidal ridge meningioma were analyzed restrospectively. Rusults Total resection of the tumors was achieved in 28, and subtotal or partial in 4. No postoperative morbidity was found. The surgical effects are satisfactory in all the patients. Condusions The microsurgery can greatly heighten total resection rate of the tumors, and reduce the postoperative complications and mortality. However, palliative operations combined with postoperative radiotherapy should be carried out for treating the tumor apparently invading surrounding important tissues such as hypothalamus, cavernous sinus and so on in order to lower the risk of operation and achieve good results.
出处
《临床神经外科杂志》
CAS
2006年第1期7-8,共2页
Journal of Clinical Neurosurgery
关键词
内侧型蝶骨嵴脑膜瘤
显微手术
medial sphenoidal ridge meningioma
microsurgery
