摘要
目的探讨前、侧颅底沟通性脑膜瘤的手术治疗。方法回顾性分析17例经影像及病理证实为前、侧颅底颅内外沟通性脑膜瘤患者的临床资料，其中男7例，女10例，年龄23～71岁，手术均由神经外科及头颈外科医生联合实施。结果手术时间平均4．2h，出血量平均1200ml，手术全切除11例，次全切除6例，分别因累及海绵窦、视神经、面神经等重要结构。手术死亡1例，16例患者术后随访3—73个月，平均29．9个月；复发死亡1例，复发带瘤生存1例。结论前、侧颅底颅内外沟通性脑膜瘤需多学科联合切除，个体化手术入路的选择、早期阻断肿瘤血供和可靠的颅底重建是关键。
Objective To investigate the optimal surgical treatment for anterior or lateral skull base communicating meningiomas. Methods Seventeen cases of historically verified anterior or lateral skull base communicating meningiomas were reviewed retrospectively, 7 males and 10 females, aged from 23 to 71 years old. All patients were operated on by a joint team consisted of neurosurgeons and head - and - neck surgeons. Results The mean operation time was 4. 2 hours, mean blood loss 1 200 ml. Total tumor resection was achieved in 11 patients, while subtotal in 6 because the tumors invasion to carvenous sinus, optic nerve or facial nerve. One patient died postoperatively. The others were followed up from 3 to 73 months（ mean 29.9 months）. One of them died of recurrence and one lived with tumor after recurrence. Conclusions The ideal treatment for anterior or lateral skuU base communicating meningiomas is to achieve gross total tumor resection by a joint team consisted of neurosurgeons and head - and - neck surgeons. The individual approach, early cutting blood supply and reliable reconstruction are very important for ideal results.
出处
《中华神经外科杂志》
CSCD
北大核心
2012年第8期780-782,共3页
Chinese Journal of Neurosurgery
基金
基金项目：首都医学发展科研基金（2009-1040）
首都医学发展科研基金（2009-2009）
首都临床特色应用研究（D1011013050010041）
关键词
前颅底
侧颅底
脑膜瘤
手术
Anterior skull base
Lateral skull base
Meningioma
Surgery
