桥小脑角脑膜瘤的手术治疗(附88例报告)

目的 探讨桥小脑角区脑膜瘤的手术治疗方法。方法 对近20年经手术治疗的88例桥小脑角质膜瘤进行回顾性分析。结果 肿瘤全部切除68例（全切率77．3％），大部切除20例；术后死亡6例（死亡率6．8％）。60例随访6个月－11年，46例恢复良好，8例死亡，6例复发。结论 手术治疗是桥小脑角脑膜瘤的首选治疗方法。合理选择手术入路，术中妥善处理和保护血管、神经、脑干等，以及术后正确处理并发症，配合其他辅助治疗，是提高手术疗效和患者术后生活质量的关键。

The surgical treatment for cerebellopontine angle meningioma

OBJECTIVE: To discuss the risks and benefits of the surgical treatment for cerebellopontine angle meningioma. METHODS: Eighty-eight patients with cerebellopontine angle meningioma treated surgically in the last twenty years were analyzed retrospectively. All patients were followed up from six months to eleven years. RESULTS: Complete resection was done in 68 (77.3%) patients and subtotal resection in the rest 20 patients. Six(6.8%) patients died after the operation. Follow up showed that eight (13.3%) patients died and six (10%) patients developed recurrence. CONCLUSION: Surgery is the treatment of choice for cerebellopontine angle meningioma. It is the key to rationally choose the adequate approach, carefully manage and protect the vessels, nerves, brain stem and to institute timely and rationally the auxiliary therapy for the postoperative complications in order to increase the efficacy and improve the patients' quality of life.