显微手术治疗蝶骨嵴脑膜瘤16例分析

目的总结蝶骨嵴脑膜瘤的显微手术治疗体会。方法回顾分析16例蝶骨嵴脑膜瘤的显微手术治疗情况。结果外侧型6例均全切除;内侧型10例中全切除7例,近全切除2例,大部切除1例,无死亡。16例随访3月至5年,全切除的13例无复发。近全切除和部分切除2例肿瘤增大,1例无变化。结论外侧型蝶骨嵴脑膜瘤手术全切率高。内侧型的治疗仍是一个难题,显微外科手术明显地提高了手术全切率,但对侵犯颈内动脉及海绵窦的肿瘤应在保全生命及保护好神经功能的前提下,尽量多切除肿瘤,残留肿瘤应给于放疗。

Microsurgical treatment of sphenoidal ridge meningioma (a report of 16 cases)

Objective: To summarize the experience of microsurgical treatment of sphenoid ridge meningiomas(SRMs) . Methods: The clinical data of 16 patients with SRMs were analyzed retrospectiviely . Results: 6 cases of external SRMs were totally removed ,of 10 cases of medial SRMs,7 cases were totally removed ,2 subtotally and one partially. No patient died .In 16 patients followed up for 3 months to 5 years ,the tumors did not recur in 13 patients who had received total resection of the tumors, the residual tumors enlarged in 2 patients and did not change in 1 patient who had received subtotal or partial resection of the tumors. Conclusion: The external SRMs have high total removal rate. The medial SRMs should be resected as totally as possible no the base of preservation of the neurological function and life,and receive radiotherapy after the operation.