蝶-眶脑膜瘤的手术治疗

Operative treatment of spheno-orbital meningioma

目的探讨蝶眶脑膜瘤的手术方法。方法回顾性地分析了10例蝶眶脑膜瘤患者的临床表现、影象学资料、手术方法及手术效果。结果男性3例,女性7例,最小39岁,最大55岁,平均46.7岁,肿瘤直径3～6cm,所有患者均用眶额颞去颧弓入路:8例全切,1例次全切,1例大部切除,术后1例出现短暂的对侧肢体力弱,1例眼球运动障碍。结论用现代颅底外科技术结合术前部分供血血管栓塞可满意地切除该型肿瘤。

Objective To explore the operative methods of spheno-orbital meningioma. Methods A total of 10 cases of spheno-orbital meningioma was retrospectively analyzed with their clinical manifestation, CT scan and MRI, operative methods as well as operative results. Results There were 3 males and 7 females, ranged from 39 to 55 years old, with a mean age of 46.7 years old. The diameter of tumor varied from 3 to 6 cm. With the fronto-orbito-temporal zygomatic approach, 8 cases were totally removed, 1 case subtotally and 1 case partly remved. After operation 1 case experienced transient weakness in the contralateral leg and hand and 1 case remained ocular motor malfunction, Conclusion The tumor can be safely removed with modern skull base techniques and preoperative tumor embolization.