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鞍区脑膜瘤手术入路的选择与评价
引用本文:袁贤瑞,方加胜,姜维喜,马志明,周艳红,陈立华,侯永宏.鞍区脑膜瘤手术入路的选择与评价[J].中南大学学报(医学版),1996(2).
作者姓名:袁贤瑞  方加胜  姜维喜  马志明  周艳红  陈立华  侯永宏
作者单位:Department of Neurosurgery,Xiangya Hospital,Hunan Medical University
摘    要:以四级分类法评价经不同的手术入路切除鞍区不同部位脑膜瘤38例所获显露程度。结果表明,经眶颧额颁下入路对鞍旁脑膜瘤显露最佳,应作为其首选入路。经翼点入路则对鞍上脑膜瘤显露良好,可作为其首选入路。

关 键 词:脑膜瘤  鞍区  外科,手术  方法

SELECTION AND EVALUATION OF THE OPERATIVE PROACHES FOR PARASELLAR AND SUPRASELLAR MENINGIOMAS
Yuan Xianrui, Fang Jiasheng, Jiang Weixi,et al.SELECTION AND EVALUATION OF THE OPERATIVE PROACHES FOR PARASELLAR AND SUPRASELLAR MENINGIOMAS[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1996(2).
Authors:Yuan Xianrui  Fang Jiasheng  Jiang Weixi  
Abstract:he authors operated on 38 consecutive cases of parasellar and suprasellar meniniomas viaseveral different operative approaches. The extents of surgical exposure in all cases were evaluat-ed with the classifiction the authors had proposed.The results indicated that the combined fron-totemporpl-orbitozygomatic approach can provide an excellent visulization to parasellar areas andshould be a procedureof choice for the parasellar meningiomas,on the other hand,the pterionalapproach Tnay also give a better exposure to suprasellar region and may be of choice for thesuprasellar meningiomas.
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