摘要
目的 探讨蝶骨嵴脑膜瘤(sphenoid ridge meningiomas SRMs)的诊断和治疗。方法 对1990至2001年收治的157例SRMs进行回顾性分析,将肿瘤分为内侧型、中1/3型和外侧型,临床表现、影像学检查和手术效果进行比较。结果 内侧型以视力下降和典型Foster-Kennedy综合征为主要表现。中外侧型以头痛等高颅内压症为主要表现。全切除率分别为53.5％、81.1％和89.5％。手术优良率分别为85.4％、91.5％和86.7％。结论 中和外侧1/3型之间差别较小,可合并进行分析,但与内侧型在临床表现和手术效果上有明显差别。在尽可能全切除肿瘤的前提下,采用手术和放射外科综合治疗方法可改善内侧型SRMs预后。
Objectives To explore the diagnosis and treatment of sphenoid ridge meningiomas (SRMs). Methods The clinical data of 157 patients with SRMs treated from 1990-2001 were analyzed retrospectively. The 157 cases of SRMs were divided into medial, middle and lateral types. Their clinical manifestations, imaging data and operative effects were compared with each other. Results The main manifestations of medial SRMs were decrease in vision and typical Foster-Kennedy syndrome. The main clinical symptom of the middle and lateral SRMs was high intracranial pressure. The total resection rates of the medial, middle and lateral SRMs were 53.5%, 81.1% and 89.5% respectively.,And 85.4% of medial SRMs, 91.5% of middle SRMs and 86.7% of lateral SRMs ach-ieved good operative outcome. Conclusions There was insignificant difference in the clinical manifestations and operative effects between the lateral and middle SRMs, but the clinical manifestions and operative effects of the medial SRMs were significantly different from those of lateral and middle SRMs. Comprehensive treatment with operation and radiosurgery can improve the progrosis in the patients with medial SRMs.
出处
《中国临床神经外科杂志》
2002年第6期325-327,共3页
Chinese Journal of Clinical Neurosurgery
关键词
外科手术
蝶骨嵴脑膜瘤
诊断
治疗
Meningiomas
Sphenoid ridge
Classification
Surgical treatment
