鼻、眶异位脑膜瘤7例报告

Ectopic meningioma of the nose and orbit

报告我院诊治的7例异位脑膜瘤病人。其中原发于颅外5例，与颅内病变相关者2例。恶性脑膜瘤1例，内皮型4例，沙粒体型2例。6例经鼻外进路，1例经颅面联合进路切除肿瘤、有3例病人取自体阔筋膜修补缺损的硬脑膜和眶骨膜，效果满意。6例脑膜瘤患者经10个月至15年的随访均无复发。1例恶性脑膜瘤病人术后半年复发死亡。大中着重介绍了该病的诊断方法，影像学检查的实用价值，临床分型的意义以及手术方法和缺损的修复。对脑膜瘤病灶只有彻底切除有可获得治愈。

Between 1980 and 1995, 7 patients with ectopic meningioma of the nose and orbitwere diagnosed and treated in our hospital. There were 4 males and 3 females, rangingin age from 12 to 63 years. The pathological diagnosis was as follows: malignantmeningioma, 1 case, psammomatuos type, 2 cases, and meningotheliomatous type, 4cases. All patients were treated by surgery and followedfup for 10 months to 15 years.6 patients were alive and 1 died of mal1gnant meningioma recurrence 6 months aftersurgery. The diagnosis, clinical c1assification and pathological feature were discllssed.