摘要
目的探讨显微手术治疗海绵窦区脑膜瘤的疗效，评价手术对眼肌功能预后的影响。方法总结经外科手术切除的25例海绵窦区脑膜瘤患者的临床资料。分别在术前、术后1周以及随访期间应用Biglan眼肌功能分级对患者进行眼肌功能评定。结果肿瘤全切4例，近全切除14例，大部切除7例；术后19例出现了新的脑神经功能缺失症状，术后上睑下垂18例；22例得到随访，平均随访期为46．2个月，总体复发率为12％；术前、术后1周、随访期间Biglan眼肌功能分级中优秀＋良好的比率分别为64％、52％和68％。结论海绵窦区脑膜瘤全切困难，规范的显微外科手术是有效地治疗措施，有助于改善受累眼肌的远期预后。
Objective To study the indications, methods and skills of microsurgical resection for cavernous sinus meningiomas and its effects on musculi oculi. Method 25 cases of cavernous sinus meningiomas were analyzed retrospectively from July 2000 to July 2006. Biglan grading were used to analyze the variations of musculi oculi function at the points of before operation, first week after operation and follow - up. Results The tumors were totally removed in 4 cases, subtotally removed in 14 cases, and panically removed in 7 cases. New neurological deficits were noted in 19 cases after operations. Ptosis was abserved in 18 cases. 22 cases received fellow - up research by means of 46. 2 months. The total recurrence rate was 12%. The ratio of excellence grade plus good grade in Biglan grading were 64%, 52% and 68% respectively before operation, first week after operation and follow - up periods. Conclusions Though total resection was difficult to peform in cavernous sinus meningiomas, rational microsurgical resection is an effective treatment, and it is helpful to improve the prognosis of the effected musculi oculi.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第8期716-719,共4页
Chinese Journal of Neurosurgery
基金
首都医学发展基金（2007-2064）
关键词
海绵窦
脑膜瘤
显微外科手术
眼肌
Cavernous sinus
Meningiomas
Microsurgery
Musculi oculi
