摘要
目的:探讨鞍旁脑膜瘤的显微手术技巧及手术疗效。方法:采用翼点和扩大翼点入路行显微手术治疗29例鞍旁脑膜瘤患者。结果:29例患者均顺利完成手术,其中肿瘤全切21例、次全切5例、部分切除3例,平均手术时间4.5 h。术后发生动眼神经麻痹5例,1例仍有癫痫发作,对症处理及抗癫痫治疗后好转。该组无手术死亡。5例次全切者术后行放射治疗,随访2年未见肿瘤复发。术后随访3～60个月(平均35个月),5例患者的视力明显好转,3例患者癫痫发作消失,2例肢体活动改善,其余患者均恢复良好,未见明显并发症。结论:采用翼点和扩大翼点入路,利用显微技术可以明显提高肿瘤全切率。对于无法全切的肿瘤,可考虑姑息手术后行放射治疗。
Objective： To investigate the microsurgery technique and outcome of parasellar meningioma. Methods： The clinical data of 29 cases of parasellar meningioma were analyzed retrospectively. Results： All 29 cases received microsurgery, while total resection, subtotal resection and partial resection were performed in 21,5 and 3 cases, respectively. The outcomes were satisfactory in all patients who survived. Conclusion： The microsurgery via the pterional and enlarged pterional approaches to parasellar meningiomas greatly increases total resection rate. Palliative operations combined with postoperative radiotherapy should be carried out for tumors that can only be subtotally and partially removed.
出处
《新医学》
2011年第5期298-301,共4页
Journal of New Medicine
关键词
鞍旁脑膜瘤
显微手术治疗
手术入路
Parasellar meningiomas
Microsurgery
Operative approach
