摘要
目的:探讨鞍区脑膜瘤的显微手术切除的操作技术方法。方法:对32例鞍区脑膜瘤行显微手术切除,采用单侧额下入路切除16例,采用翼点或扩大翼点入路切除20例。结果:肿瘤全切除(SimpsonⅠ、Ⅱ)30例,次全切除6例,无手术死亡。术后颅高压症状均缓解,18例有视力视野障碍者,改善15例,无改善3例。结论:应用合适的显微外科技术,可使鞍区脑膜瘤手术切除取得良好效果。
Objective：To study the effective methods of microsurgical treatment in sellar area meningiomas. Methods.. 36 patients were treated microsurgically by subfrontal approach or enlarged pterion approach. Results： Total resection （Simpson Ⅰ , Ⅱ ）had been performed on 30 patients, the other 6 patients were processed by subtotal resection, with no death perioperatively. After operation, the intracranial hypertension was relieved, and 15 of 18 patients who had disturbance in visual acuity and visual field were obviously improved ,other 3 had no change. Conclusion： The appropriate microsurgery for the removal of sellar area meningiomas are the key factors for achieving good surgical result.
出处
《陕西医学杂志》
CAS
北大核心
2007年第9期1192-1194,共3页
Shaanxi Medical Journal
