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枕下扩大外侧入路手术切除枕大孔区脑膜瘤
引用本文:王振宇,谢京城,马长成,刘彬,陈晓东,李振东,孙建军. 枕下扩大外侧入路手术切除枕大孔区脑膜瘤[J]. 北京大学学报(医学版), 2004, 36(6): 634-636
作者姓名:王振宇  谢京城  马长成  刘彬  陈晓东  李振东  孙建军
作者单位:北京大学第三医院神经外科,北京,100083;北京大学第三医院神经外科,北京,100083;北京大学第三医院神经外科,北京,100083;北京大学第三医院神经外科,北京,100083;北京大学第三医院神经外科,北京,100083;北京大学第三医院神经外科,北京,100083;北京大学第三医院神经外科,北京,100083
摘    要:目的:分析影响枕大孔区脑膜瘤手术疗效的因素,比较有关手术入路的优缺点.方法:应用枕下外侧扩大入路切除枕大孔脑膜瘤11例.结果:手术全切肿瘤7例(7/11,64%),次全切2例(2/11,18%),部分切除2例(2/11,18%).无手术死亡和严重的手术并发症.结论:枕下外侧扩大入路足以显露和切除枕大孔区肿瘤.肿瘤切除程度取决于肿瘤与椎动脉、脑干和颅神经的关系.

关 键 词:枕骨大孔  脑膜瘤  显微外科手术

Microsurgery on foramen magnum meningioma with suboccipital extend lateral approach
Abstract. Microsurgery on foramen magnum meningioma with suboccipital extend lateral approach[J]. Journal of Peking University. Health sciences, 2004, 36(6): 634-636
Authors:Abstract
Affiliation:Department of Neurosurgery, Peking University Third Hospital, Beijing 100083, China. wzy502@mail.china.com
Abstract:To analyze which factors influence the operative outcome,and compare advan-tages and disadvantages of relative surgical approaches.Methods:Eleven cases with the foramen mag-num meningioma were operated by using posterior approach with lateral extension.Results:Complete re-moval of the tumor was performed in 7 patients(7/11,64%),subtotal resection in 2 cases(2/11,18%)and partial resection in 2 cases(2/11,18%).There were no operative death and significant com-plication.Conclusion:The posterior approach with lateral enlargement is sufficient to expose and removeforamen magnum tumors without expensive bone resection.
Keywords:Foramen magnum  Meningioma  Microsurgery
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