误诊为眼科疾病的鞍上脑膜瘤的治疗体会

Microsurgical treatment of supersellar meningiomas misdiagnozed as ophthalmic diseases

目的提高鞍上脑膜瘤的早期诊断和显微外科治疗水平。方法报告15例被误诊为眼科疾病的鞍上脑膜瘤的临床表现、诊断及显微外科治疗。结果本组15例,全切11例,大部切除4例,术后无死亡。术后53.3%患者视力得到改善。结论早期正确诊断,显微外科有助于鞍上脑膜瘤的全切及视力的改善。

Objective To improve early diagnosis and microsurgical techniques for supersellar meningiomas. Methods The clinical features,diagnosis and microsurgery of 15 patients with supersellar meningiomas misdiagnozed as ophthalmic diseases were reviewed retrospectively. Results Total resection was achieved in 11 cases, partial in 4 cases. No surgical mortality. The vision of 53.5% patients were improved. Conclusion Early diagnosis is important to achieve good surgical results. Microsurgery is a safe and effective methods for supersellar meningiomas.