眶上翼点入路处理大型蝶骨嵴内侧脑膜瘤和鞍结节脑膜瘤

目: 结近5年来采用眶上翼点入路和显微外科手术治疗17例大型蝶骨嵴内侧脑膜瘤和鞍结节脑膜瘤的经验和体会。方法：采用眶上翼点入路和显微外科手术治疗大型鞍结节脑膜瘤9例和大型蝶骨嵴内侧脑膜瘤8例。结果：大型鞍结节脑膜瘤手术全切除8例，次全切除1例。大型蝶骨嵴内侧脑膜瘤全切除7例，次全切除1例。全组无手术死亡。术前视力明显减退的11例患，术后4例明显好转，2例改善，4例无变化，1例较术前恶化。结论：眶上翼点入路在大型蝶骨嵴内侧脑膜瘤和鞍结节脑膜瘤的手术处理中是一种较好的手术入路。

Supraorbital-pterional approach for microsurgical management of large meningiomas in medial sphenoid wing and tuberculum sellae

Objective: To evaluate the application of supraorbital pterional approach in microsurgical management of large meningiomas located in medial sphenoid wing and tuberculum sellae. Methods: Supraorbital pterional approach was used to remove the large meningiomas of medial sphenoid wing(9 cases) and tuberculum sellae(8 cases) in 17 cases. Results: Of 17 cases in this group, 15 cases had total removal of tumors, only one patient with sphenoid wing meningioma and one with tuberculum sellae meningioma had subtotal removal. In 11 patients with pre operative severe visual deterioration, 6 patients was markedly improved, 4 patients unchanged and one patient worsened post operatively. Conclusion: The supraorbital pterional approach is a preferable choice in management of large meningiomas located in medial sphenoid wing and tuberculum sellae.