| 鞍隔脑膜瘤的分型及手术方法的选择 |
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| 引用本文： | 迟建华,孙克华,谭启富,杭春华,孙康健,华长春,刘华新.鞍隔脑膜瘤的分型及手术方法的选择[J].医学研究生学报,2001,14(6):506-507. |
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| 作者姓名： | 迟建华 孙克华 谭启富 杭春华 孙康健 华长春 刘华新 |
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| 作者单位： | 南京军区南京总医院神经外科, |
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| 摘 要： | 目的；探讨不同部位鞍隔脑膜瘤（DSM）的分型以及手术方法的选择与治疗结果的关系。方法：CT扫描提示为垂体瘤和鞍结节脑膜瘤并向后发展者，用MRI复查筛选共发现DSM20例，其中9例为A型（居鞍隔上垂体柄前），5例B型（居鞍隔上垂体柄后），2例为C型（居鞍隔下蝶鞍内），4例为混合型（累及鞍隔上下和垂体柄前后）。结果：20例均行手术治疗，17例全切除，3例大部切除，无手术死亡和严重功能障碍。结论：MRI是诊断DSM的最好方法，有助于鉴别诊断、分型和手术方法的选择。鞍隔脑膜瘤的手术较鞍结节脑膜瘤的手术更为困难。
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| 关 键 词： | 鞍隔脑膜瘤 MRI检查 手术入路 |
| 文章编号： | 1008-8199(2001)06-0506-02 |
| 修稿时间： | 2001年1月21日 |
The types and the approaches of 20 diaphragma sellae meningiomas |
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| CHI Jian hua,SUN Ke hua,TAN Qi fu,HANG Chun hua,SUN Jian kang,HUA Chang chun,LIU Hua xin.The types and the approaches of 20 diaphragma sellae meningiomas[J].Bulletin of Medical Postgraduate,2001,14(6):506-507. |
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| Authors: | CHI Jian hua SUN Ke hua TAN Qi fu HANG Chun hua SUN Jian kang HUA Chang chun LIU Hua xin |
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| Abstract: | Objectives:To study the types, approaches and treatment results of diaphragma sellae meningiomas(DSM). Methods:Twenty cases were diagnosed as DSM by MRI,9 cases belonged to type A,5 belonged to type B,2 belonged to type C, and 4 belonged to type D. Results:Total removal of DSM was in 17 patients, and partial removal in 3 patients. Neither postoperative mortality nor severe morbidity occur. Conclusions:MRI is the best method for DSM. Surgery for DSM is more difficult than tuberculum sellae meningiomas because of the deep location, particularly for the large tumors that included type A,B and C. |
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| Keywords: | Diaphragma sellae meningioma Types MRI Operative approaches |
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