嗅沟脑膜瘤的临床诊断和治疗

Clinical Diagnosis and Treatment of Olfactory Meningioma

目的分析溴沟脑膜瘤的临床诊断和治疗。方法收集17例嗅沟脑膜瘤手术病例,并分析其临床表现和手术治疗结果。结果嗅沟脑膜瘤大多以精神症状、视觉障碍和癫痫为首发症状,16例行SimpsonⅡ级切除,1例SimpsonⅢ级切除,预后良好,无复发。结论重视以精神症状为首发症状的溴沟膜瘤的出现,及早诊断,显微技术的应用有利于提高疗效。

Objective To analyze the clinical diagnosis and treatment of olfactory meningioma. Methods In this group 17 olfactory meningiomas were operated, and the clinical presentations and the surgery results were obtained. Results The symptoms of psyciatrical disorder, visual disturbances and eclipse at presentation was higher. In 16 cases the grade of resection was SimpsonⅡ, 1 case Simpson Ⅲ, most of the cases had a good recovery. Conclusion Attention should be paid to the early symptom at presentation such as psyciatrical disorder to obtain an early diagnosis. Microsurgery is useful in the treatment of olfactory meningioma.