鞍结节脑膜瘤的显微手术治疗

Microsurgical Treatment of Tuberculum Sellae Meningioma

目的探讨鞍结节脑膜瘤的早期诊断,手术入路技巧。方法对苏大附一院39例鞍结节脑膜瘤的临床资科进行回顾性分析。结果肿瘤全切除28例、次全切除6例,部分切除5例,无手术死亡。结论CT或MR检查对鞍结节脑膜瘤早期确诊提供了帮助。根据肿瘤的大小及生长方向确定手术入路,显微手术是鞍结节脑膜瘤的最佳治疗方法。

Objective To investigate the early diagnosis,surgery approach and technique oftuberculum sellae meningioma.Method To retrospectively analyse clinical data of 39 cases of tuberculum sellae meningioma. Results Of all these 39 cases,28 cases were totally resected;6cases were subtotally resected;5 cases were partially resected;there were no morality during surgery.Conclusion CT and MRI examination is important for early diagnosis of tuberculum sellae meningioma.Selection of surgery approach depends on the size and growth direction of the tumor.Techniques with microscope have greatly improved the results.