蝶眶脑膜瘤的外科治疗（附36例分析）

目的总结蝶眶脑膜瘤的诊治经验。方法回顾性分析36例蝶眶脑膜瘤的临床资料，均行额颞眶颧入路手术治疗。结果肿瘤全切除28例，次全切除6例，大部分切除2例。无昏迷、完全肢体偏瘫等严重神经功能缺失，无死亡病例。术后随访6个月-5年，肿瘤复发6例。结论额颞眶颧入路能充分暴露蝶眶脑膜瘤及周围增生骨质，有利于肿瘤切除及正常神经血管的保护，是治疗蝶眶脑膜瘤安全、有效的手术入路。

Surgical treatment of sphenoorbital meningioma: analysis of 36 cases

Objective To summarize the diagnostic and therapeutic experience of sphenoorbital meningiomas. Methods The clinical data of 36 patients with sphenoorbital meningioma which was resected via frontotemporal-orbital-zygomatic approach were retrospectively analyzed. Results The sphenoorbital meningioma was totally removed in 28 cases, subtotally in 6 and partially in 2. There were no severe functional neurological impairments as complete paralysis and coma, and no mortality. The follow-up period was from 6 months to 5 years, and the meningioma recurred in 6 cases. Conclusion Frontotemporal-orbital-zygomatic approach provides extensive exposure of sphenoorbital meningioma and surrounding bone spur and profits tumor resection and protection of surrounding neurovascular structures, therefore, resection of sphenoorbital meningioma via the approach is safe and effective.