摘要
本文分析123例鞍结节脑膜瘤.男49例,女74例,发病年龄多为31～55岁,首发症状:视力减退占86%,头痛占13%。脑血管造影显示肿瘤多由筛动脉供血,肿瘤大于1.5cm 者可有大脑前动脉移位。病理检查82%为内皮型脑膜瘤。本组81%的肿瘤得到全切或近全切除,手术死亡率为8.1%,术后68%的病人视力改善。
123 cases of tuberculum sellae meningioma are re-ported,including 49 males and 74 females.Most pa-tients were 31-55 years of age.The duration of illnesswere 2 to 12 years.86% of the patients complainedfailure of visual acuity,only 13% accompaned withheadache in the early time.Endocrine dysfunction(20.9%),increased intracranial pressure(5.7%)andsome rare symptoms were arisen at late stage.Asy-metrical visual field defect were common signs.91%had mono-or binocular primary optic atrophy in differ-ent degree,CT scan can gave a clear imaging-circularhyper-or mix-intensity with homogeneous contrast en-hancement on suprasellar region.Feeding artery andtumor stain could be seen on the angiogram.Extirpa-tion or subtotal removal tumors in 73% of patients.75% of the specimen were endothelium meningiomapathologically.In the series,the mortality rate was 0in the group of the tumor less than 3cm in diameter,the mortality was 8.1% in the group of the tumor sizeabove 3cm in diameter.The main cause of death wasinjury of hypothalamus.In 68% of patients,the visionwere improvement by surgery.In the group of the tu-mor less than 3cm in diameter,patients showed visualimprovement in 93%,while 58% in the group the tu-mor between 3-5cm and only 3% in tumors above 5cm.Authors suggest that early diagnosis and proper opera-tion are very importance.
出处
《中华神经外科杂志》
CSCD
北大核心
1993年第3期129-132,共4页
Chinese Journal of Neurosurgery
