| 鞍结节脑膜瘤显微手术治疗体会 |
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| 引用本文： | 苏星,陈建,顾志恺,施炜,严耀华.鞍结节脑膜瘤显微手术治疗体会[J].中华神经外科杂志,2011,27(7). |
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| 作者姓名： | 苏星 陈建 顾志恺 施炜 严耀华 |
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| 作者单位： | 南通大学附属医院神经外科,226001 |
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| 摘 要： | 目的 探讨鞍结节脑膜瘤手术入路选择、手术技巧及临床效果.方法 回顾性分析2000年2月至2006年10月手术治疗的45例鞍结节脑膜瘤的临床资料,14例经单侧额下入路,15例经翼点入路,9例经眶额翼点入路,7例扩大经额入路.结果 肿瘤全切除42例,大部分切除3例;术后视力改善33例,无明显变化9例,3例恶化.结论 根据肿瘤大小、部位、生长方式及毗邻关系选择正确的手术入路并结合熟练的显微外科手术操作是全切除肿瘤及获得良好临床疗效的关键.Abstract：Objective To study the surgical approaches, operative techniques and curative effects of tuberculum sellae meningiomas. Method Retrospective analysis was made on 45 cases of tuberculum sellae meningiomas operated with a variety of surgical approaches. In 14 patients,the tumors were removed through unilateral subfrontal approach, 15 through pterional approach,9 through fronto - orbital craniotomy and 7 through extended frontal approach. Results Of the 45 cases, tumor was totally removed in 42 cases, subtotally removed in 3. Postoperatively, the eyesight was improved in 33 cases, unchanged in 9 cases, and worse in 3 cases. Conclusions The surgical approach for tuberculum sellae meningioma should be chosen according to the size, location, growth pattern and adjacent relation of tumor. The microsurgical skill is the key for total removal of tumor and good curative effect.
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| 关 键 词： | 脑膜瘤 鞍结节 显微外科手术 |
Microsurgery treatment of tuberculum sellae meningiomas |
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| SU Xing,CHEN Jian,GU Zhi-kai,SHI Wei,YAN Yao-hua.Microsurgery treatment of tuberculum sellae meningiomas[J].Chinese Journal of Neurosurgery,2011,27(7). |
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| Authors: | SU Xing CHEN Jian GU Zhi-kai SHI Wei YAN Yao-hua |
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| Abstract: | Objective To study the surgical approaches, operative techniques and curative effects of tuberculum sellae meningiomas. Method Retrospective analysis was made on 45 cases of tuberculum sellae meningiomas operated with a variety of surgical approaches. In 14 patients,the tumors were removed through unilateral subfrontal approach, 15 through pterional approach,9 through fronto - orbital craniotomy and 7 through extended frontal approach. Results Of the 45 cases, tumor was totally removed in 42 cases, subtotally removed in 3. Postoperatively, the eyesight was improved in 33 cases, unchanged in 9 cases, and worse in 3 cases. Conclusions The surgical approach for tuberculum sellae meningioma should be chosen according to the size, location, growth pattern and adjacent relation of tumor. The microsurgical skill is the key for total removal of tumor and good curative effect. |
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| Keywords: | Meningiomas Tuberculum sellae Microsurgery |
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