摘要
目的 探索经单侧额部纵裂入路切除鞍结节和鞍膈脑膜瘤的手术方法和手术效果。方法 1 1例鞍结节和 7例鞍膈脑膜瘤经单侧额部纵裂入路切除 ;肿瘤大小 :最大径小于 3cm 4例 ,3～6cm 1 3例 ,大于 6cm 1例。结果 肿瘤全切除 (SimpsonⅠ、Ⅱ级切除 ) 1 6例 ,近全切除 2例 ;无手术死亡。术后视力视野改善 1 1例 ,无变化 5例 ,恶化 2例 ;术后出现不同程度尿崩 7例。结论 鞍结节和向前生长的鞍膈脑膜瘤经单侧额部纵裂入路能获得良好暴露和切除 。
Objective To make an investigation of the effect of microsurgical operation by unifrontal interhemispheric approach for tuberculum and diaphragma sellae meningiomas.Methods 18 patients (11 with tuberculum sellae and 7 with diaphragma sellae meningiomas)have been treated microsurgically via unifrontal interhemispheric approach. Among these cases 4 patients were with tumor maximum diameter less than 3cm, 13 cases were 3～6cm, and only one was more than 6cm.Results Total resection (Simpson Ⅰ or Ⅱ)has been performed in 16 patients, the other 2 patients were processed by subtotal resection. There was no operative mortality. After operations, 11patients gained improvement with visual acuity and visual field, 5 had no obviously improvement, and 2 became worse. 7 patients suffered diabetes insipidus.Conclusions The tuberculum and diaphragma sellae meningiomas have a good prognosis by unifrontal interhemispheric approach which allows a wider operative field and better re moval.
出处
《中华神经外科杂志》
CSCD
北大核心
2003年第1期40-42,共3页
Chinese Journal of Neurosurgery
基金
温州市"551人才工程"资金资助项目 ( 2 0 0 0年度 )
