摘要
目的探讨显微神经外科手术治疗窦汇区脑膜瘤的临床疗效。方法回顾性分析29例经手术及病理证实的窦汇区脑膜瘤患者的临床资料。结果共纳入29例窦汇区脑膜瘤患者,手术达SimpsonⅠ级切除者20例;SimpsonⅡ级切除者6例;SimpsonⅣ级切除者3例,部分肿瘤残留于窦腔内,术后均给予伽马刀治疗。术后病理检查显示26例为脑膜瘤(WHOⅠ级),3例为非典型脑膜瘤(WHOⅡ级)。患者均无手术相关的死亡及严重并发症发生情况。随访1～5年,其中2例复发,均为SimpsonⅣ级切除患者,1例(病理为非典型脑膜瘤)为术后1年复发,1例(脑膜瘤,皮细胞型)为术后3年复发。结论窦汇区脑膜瘤显微神经外科手术治疗可获得良好的肿瘤切除率和神经功能结局。
Objective To evaluate the clinical efficacy of microneurosurgery in treatment of meningiomas in torcular herophili region. Methods The clinical data of 29 patients with meningiomas in torcular herophili region confirmed by surgery and pathology were retrospectively analyzed. Results Twenty-nine patients with meningiomas in torcular herophili region were enrolled, including 20 cases with Simpson Ⅰ resection, 6 cases with Simpson Ⅱ resection and 3 cases with Simpson Ⅳ resection, and some tumors were left in the sinus cavity and all were treated with gamma knife after operation.Postoperative pathological examination showed that 26 cases were meningiomas(WHO Ⅰ), and 3 cases were atypical meningiomas(WHO Ⅱ). There were no operative related deaths and serious complications. Followed up for 1 to 5 years, 2 cases recurred, all of them were Simpson Ⅳ resection patients, 1 case(pathological atypical meningioma) recurred at 1 year after operation, and 1 case(meningioma, dermal cell type) recurred at 3 years after operation. Conclusion Microneurosurgery in the treatment of meningiomas in torcular herophili region can achieve good tumor resection rate and neurological outcome.
作者
冀培刚
刘竞辉
李宝福
王樑
娄淼
JI Pei-gang;LIU Jing-hui;LI Bao-fu;WANG Liang;LOU Miao(Neurosurgery Department,Tangdu Hospital,the Fourth Military Medical University,Xi'an 710038,China)
出处
《临床医学研究与实践》
2018年第35期52-53,共2页
Clinical Research and Practice
关键词
窦汇区脑膜瘤
显微神经外科
伽玛刀
meningiomas in torcular herophili region
microneurosurgery
gamma knife
