摘要
目的探讨神经内镜下经鼻-蝶窦入路手术治疗鞍结节脑膜瘤手术方法及疗效。方法对收治的20例鞍结节脑膜瘤患者的临床资料进行回顾性分析,对其的手术方法及疗效进行总结分析。结果 20例患者肿瘤均获完全切除,按照肿瘤切除Simpson分级,Ⅰ级16例,Ⅱ级4例。术后视力改善15例,视力无变化4例,视力恶化1例。术后出现癫痫发作2例,术后颅内血肿4例。随访6～72个月,没有复发病例,均恢复正常的日常生活和工作。结论神经内经下经鼻-蝶窦入路切除鞍结节脑膜瘤是安全可行的手术方法,手术创伤小,并发症少,术后恢复快。
【Objective】To evaluate the surgical methods and efficacy of endoscopic nasal-transsphenoidal approach for tuberculum sellae meningioma. 【Methods】 20 patients with tuberculum sellae meningioma were retrospectively analyzed with its clinical data,surgical method and clinical effect.【Results】All the 20 patients were given complete resection of tumor. The tumor resections were Simpson Grade Ⅰ in 16 cases,Grade Ⅱ in 4 cases. Postoperative visual acuity improved in 15 cases,no change in four cases of visual acuity,visual acuity deteriorated in 1 case. Postoperative seizures occurred in 2 cases,postoperative intracranial hematoma in 4 cases. Follow-up of 6～72 months,no recurrent cases,all patients were returned to normal daily life and work. 【Conclusion】Nasal-transsphenoidal removal of tuberculum sellae meningioma is safe and feasible surgical approach,minimally invasive surgical trauma,less complications and faster postoperative recovery.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期382-384,共3页
China Journal of Endoscopy
关键词
鞍结节脑膜瘤
经鼻-蝶窦入路
疗效
并发症
tuberculum sellae meningioma
nose-transsphenoidal approach
efficacy
complications
