鞍上脑膜瘤的诊断与治疗(附41例报告)

本文报告41例鞍上脑膜瘤外科手术切除的临床经验，其中全切除29例，次全切除8例，大部分切除4例，死亡4例．26例经3个月-9年术后随访，肿瘤无复发．采用显微外科手术，术野清楚，能正确辨认鞍上肿瘤与颈内动脉、大脑前动脉、视神经、下丘脑、垂体柄和视交叉等重要结构关系，提高了肿瘤全切除率，降低了死亡率。

Dlagnosis and Treatment of Suprasellar Meningioma (Report of 41 Cases)

This article reported clinical experience of the surgical managemets of suprasellarmeningiomas for 41 cases. Total removal of the tumor was achieved in 29 cases, subtotal excision in 8cases, great partiai excision in 4 cases, and surgical mortality in 4 cases. 26 cases were followed up3-108 months with no recurrence. By microsurgical technique, the relationship of the tumor and thesurroundjng structures such as intemal carotid artery, anterior cerebral artery, optic nerve, hypothalamus,hypophyseal stalk and optic chiasma was clear in the operative field. The total tumor resection rate couldbe raised. The mortality rate could be reduced.