摘要
目的 探讨桥小脑角区脑膜瘤的手术治疗方法。方法 对近 2 0年经手术治疗的 88例桥小脑角脑膜瘤进行回顾性分析。结果 肿瘤全部切除 6 8例 (全切率 77 3% ) ,大部切除 2 0例 ;术后死亡 6例 (死亡率 6 8% )。 6 0例随访 6个月～ 11年 ,46例恢复良好 ,8例死亡 ,6例复发。结论 手术治疗是桥小脑角脑膜瘤的首选治疗方法。合理选择手术入路 ,术中妥善处理和保护血管、神经、脑干等 ,以及术后正确处理并发症 ,配合其他辅助治疗 ,是提高手术疗效和患者术后生活质量的关键。
Objective To discuss the risks and benefits of the surgical treatment for cerebellopontine angle meningioma.Methods Eighty eight patients with cerebellopontine angle meningioma treated surgically in the last twenty years were analyzed retrospectively. All patients were followed up from six months to eleven years.Results Complete resection was done in 68(77.3%)patients and subtotal resection in the rest 20 patients. Six(6.8%) patients died after the operation. Follow up showed that eight(13.3%) patients died and six(10%) patients developed recurrence.Conclusion Surgery is the treatment of choice for cerebellopontine angle meningioma. It is the key to rationally choose the adequate approach, carefully manage and protect the vessels , nerves, brain stem and to institute timely and rationally the auxiliary therapy for the postoperative complications in order to increase the efficacy and improve the patients′ quality of life. [
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2001年第5期434-435,共2页
Chinese Journal of Oncology
关键词
脑膜瘤
桥小脑角
外科手术
Meningioma/surgery
Cerebellopontine angle
