眉弓上锁孔入路治疗鞍结节脑膜瘤

目的分析眉弓上锁孔入路治疗鞍结节脑膜瘤的临床效果。方法回顾性分析济南军区总医院神经外科2011年3月~2014年4月收治12例鞍结节脑膜瘤患者临床资料,手术均采用眉弓上锁孔入路。结果根据Simpson分级,12例手术中I级切除8例,Ⅱ级4例,术后随访3~18个月,视力均有不同程度恢复。结论锁孔手术治疗鞍结节脑膜瘤具有创伤小,手术时间短,术后并发症少,恢复快,手术瘢痕小等优点,熟练应用能够提高肿瘤全切率,取得良好疗效。

Treatment of tuberculum sellae meningioma by supraorbital keyhole approach

Abstarct:Objective To explore the clinical efficacy of the treatment of tuberculum sellae meningioma by supraorbital keyhole approach.Methods The clinical data of 12 patients with tuberculum sellae meningioma treated by transorbital keyhole approach were analyzed retrospectively.Results Total removal were achieved in 12 cases,in which Simpson I resection in 8,Simpson grade Ⅱ resection in 4.The follow up from 3 to 18 months showed their eyesight all improved partly.Conclusion Keyhole surgery of supraorbital sellae meningioma has many advantages such as less trauma, shorter operation time, less postoperative complications, rapid recovery, small surgical scar, skilled application can increase the extant of tumor removal, achieve good effect.