摘要
介绍21例蝶骨嵴脑膜瘤切除的经验。经改良翼点入路18例，显微手术4例，全切除14例；非显微手术17例，全切除12例，大部切除5例。手术效果优良15例。随访优良率11／13。作者认为MR的诊断价值优于CT，显微手术能提高肿瘤全切除率，预后取决于颈内动脉、大脑中动脉、功能区皮质和海绵窦、视神经的保护。讨论了术后肿瘤复发的防治和防止继发性脑动脉痉挛的方法。
Twenty -one cases with sphenoidal ridge meningiomaoperated on during Apr, l992. to Jan ,1997 were reported inthis pater, Operations via modified pterion approach were.conducted in 18 cases. Microsurgery group numbered 4 caseswith 100%by total remoual rate. Non -microsurgery groupnumbered 17 cases, in which the tumor was totally removedin 12 cases and largely subtotal removed in 5cases, The sur-gical outcomes was satisfactory in 15 cases. Good rate of fol-lowing up was 11/13. It is believed that MRl is more valu-able as compared with CT for diagnosis .Miccrosurgery ele-vates the tolal remoual rate of the tumor. Prognosis of thetreatment depends on the protection of the internal carotidartery, middle cerebral artery, cortex of the functional re-gions, cavernous sinus and the optic nerves during operation.Prevention of opstoperative reccurence of the tumor and sec-ondary cerebral artery spasm was concerned.
出处
《广东医学》
CAS
CSCD
1997年第6期364-366,共3页
Guangdong Medical Journal
