神经导航显微外科治疗颅底中央区脑膜瘤(附35例分析)

Neuronavigation guided microsurgery for meningioma in the central region of the skull base: report of 35 cases

目的探讨神经导航系统在颅底中央区脑膜瘤手术中的应用价值。方法回顾性分析35例应用神经导航手术操作系统进行显微外科治疗的颅底中央区脑膜瘤病人的临床资料。本组针对不同类型的颅底中央区脑膜瘤,应用神经导航系统设计个体化的手术入路,术中应用显微外科技术,避免损伤重要结构,进行有效的肿瘤切除。结果肿瘤全切除28例,次全切除7例。术后早期严重并发症发生率为11.4%,包括动眼神经麻痹1例,脑内血肿1例(行血肿清除术后恢复良好),脑脊液漏1例,颅内感染1例。本组无死亡病例。随访6个月～2年,次全切除者中复发2例。结论应用神经导航系统设计个体化的手术入路,术中应用显微外科技术,精细操作,颅底中央区脑膜瘤大多可以获得成功的手术切除。

Objective To explore the clinical application of the neuronavigation system in the treatment of meningioma in the central region of the skull base.Methods Clinical data of 35 patients with meningioma in the central region of the skull base,who received neuronavigation guided microsurgery,were retrospectively analyzed.Individualized approach was chosen to treat different kinds of lesion by neuronavigation system.Tumor was resected effectively by using microsurgical techniques without damage to important stru...