摘要
目的探讨45例桥小脑角脑膜瘤的手术治疗体会。方法回顾性分析我们自1988年 10月至2003年3月间手术治疗的45例桥小脑角脑膜瘤。结果肿瘤全切12例,近全切22例,部分切除11例,死亡3例。术后γ刀33例。40例随访3个月-15年,34例恢复良好,6例死亡。结论选择适当的手术入路,术中行面、听神经监测,并妥善处理和保护血管、神经、脑干等,术后正确处理并发症,配合其他辅助治疗,是提高手术疗效和患并术后生活质量的关键。
Objective To discuss the microsurgical approaches and results of 45 patients with cerebellopontine angle （CPA） meningiomas. Methods A retrospective analysis on the 45 patients undergoing surgical removal of histologically confirmed CPA meningiomas between October 1988 and March 2003 was performed with regard to microsurgical approaches and long-term outcomes. Results The meningiomas were totally removed in 12 cases, subtotally in 22, partially in 11. 3 died. 33 cases received γ-knife irradiation During 3-month to 15-year followed-up in 40 patients, favorable recovery was seen in 34, death in 6. Conclusion Appropriate approaches according to the size and site of tumors, intra-operative monitoring of facial and acoustic nerves, protection of vessels, nerves and brain stem, and right prevention of complications are all the keys to improve the therapeutical outcomes and the post-operative quality of life.
出处
《中华神经医学杂志》
CAS
CSCD
2006年第5期513-515,共3页
Chinese Journal of Neuromedicine
关键词
桥小脑角
脑膜瘤
显微外科手术
Cerebellopontine angle
Meningiomas
Microsurgical operation
