颅底脑膜瘤的显微手术治疗

目的：总结颅底脑膜瘤的显微手术治疗经验．方法回顾分析显微镜直视下手术切除10例颅底脑膜瘤的临床资料，其中嗅沟脑膜瘤3例，蝶骨嵴脑膜瘤、中颅窝底脑膜瘤、桥小脑角脑膜瘤各2例，颞叶天摹脑膜瘤1例．结果肿瘤全切除7例，次全切除3例．无严重并发症或死亡病例．术后2个月全部病人症状改善．9例获随访、2a脑膜瘤复发1例．结论选择好手术入路和运用好显微外科技术可以提高颅底脑膜瘤的全切率，降低死亡率．

10 Cases of Meningioma in Skull Base Clinical Report Treated by Microsurgery

Objective To summary the experience of microsurgery of meningioma in skull base treatment. Methods To study the clinical data of 10 cases patients of meningioma in skull base who were subjected to microsurgery by using retrospective analysis. Among the 10 patients, there were 3 cases of meningioma of the olfactory groove. There were 2 cases of sphenoid ridge meningioma, meningioma in the middle cranial fossa, meningioma in the cerebellopontine angle respectively. There was 1 case of meningioma of velarium in temporal lobe. Results In 7 cases, the meningioma was completely removed. And in another 3 cases, the meningioma got subtotal resection. During and after the operation, there were no severe complications observed or death occurrence in all the 10 cases of meningioma patients. Two months post of operation, all patients got a significant amelioration in their symptoms. A total of 9 cases were followed up. There was 1 case of Ila type meningioma recurred. Conclusion To elevate the whole shearing rate of meningioma in skull base and reduce the mortality of it, it is most important for appropriate operative route selection and well mircosugical technique application.