通过眶上裂路径颅眶内外沟通性脑膜瘤的显微手术治疗

目的探讨通过眶上裂路径沟通颅眶的颅底脑膜瘤的生长方式、肿瘤特点、手术方式及术中处理要点，研究通过眶上裂路径沟通颅眶的颅底脑膜瘤的显微手术效果。方法总结采用眶-翼点人路显微手术治疗60例通过眶上裂沟通颅眶的颅底脑膜瘤的临床资料，对该类肿瘤的特殊性及手术方式要点进行详细论述。结果临床显微手术治疗颅底脑膜瘤60例，全切56例，次全切3例，大部切除1例，肿瘤全切率为93．3％。结论对于该类颅眶沟通性脑膜瘤行眶-翼点入路显微手术是较好的手术方式，效果满意。

Microsurgical management of skull base meningioma communicating the orbit and cranial cavities via superior orbital fissure

Objective To study the effects of microsurgery via superior orbital fissure on skull base meningioma communicating the orbit and cranial cavities. Methods The clinical data of 60 patients with cranio-orbital communicating skull base meningioma who underwent microsurgieal operations by orbito-peronal approach were analyzed. Results Total tumor resection was achieved in 56 of the 60 patients （93.3%）, subtotal resection was performed in 3 patients, and only 1 case obtained partial resection. ＂Conclusion Microsurgieal resection by orbito-peronal approach is a favorable treatment for eranio-orbital communicating skull base meningioma.