摘要
目的报道应用显微外科手术治疗不同类型的内侧型蝶骨嵴脑膜瘤的临床疗效。方法回顾性分析36例经显微外科手术治疗的内侧型蝶骨嵴脑膜瘤的临床资料。其中21例采用翼点入路,10例采用额下入路,3例采用经额-颞硬膜外入路,1例采用额颢眶颧入路。结果临床治疗36例,其中肿瘤SimpsonⅠ级切除3例(8.3%),SimpsonⅡ级切除22例(61.1%),SimpsonⅢ级切除11例(30.5%)。死亡4例(11.1%)。平均随访36.8个月,随访期间肿瘤复发7例(19.4%)。结论显微手术可提高肿瘤的全切率,术中应妥善处理和保护血管、神经和海绵窦内结构。肿瘤的复发与是否侵袭海绵窦、包裹颈内动脉(ICA)及其分支有关。
Objective To discuss the clinical effects of the classification and microsurgical resection of the medial sphenoid wing meningiomas. Methods Thirty-six cases of medial sphenoid wing meningiomas which underwent microsurgical resection were analyzed retrospectively. Twenty-one cases were performed by the pterional approach, 10 cases were used by the subfrontal approach, 3 cases were used by the frontotempomi extradural approach and 1 case was used by the frontotemporal-orbitozygomatic approach. Results Simp- son grade Ⅰ resection were achieved in 3 cases（8. 3% ）. Simpson grade Ⅱ resection were achieved in 22 cases（61.1% ）. Simpson grade Ⅲ resection were achieved in 11 cases （30. 5% ）. Four patients died （11.1% ）. The mean follow-up time was 36. 8 months. Recurrence of the tumors developed in 7 cases （ 19. 4% ）. Conclusion The microsurgery can greatly heighten total resection rate of the tumors. It is important to manage and protect the vessels, nerves and the cavernous sinus region carefully through microsurgical techniques. The recurrence of tumors is highly dependent on the presence or absence of these tumors to infiltrate the cavernous sinus and to encase the ICA.
出处
《中华显微外科杂志》
CSCD
北大核心
2007年第3期165-168,共4页
Chinese Journal of Microsurgery
关键词
脑膜瘤
蝶骨嵴
显微外科手术
Meningiomas
Medial sphenoid wing
Microsurgical operation
