摘要
目的总结蝶骨嵴脑膜瘤患者的显微外科手术技巧。方法回顾性分析21例经显微外科手术治疗的蝶骨嵴脑膜瘤患者(内侧型15例,外侧型6例)的临床资料。结果所有病例通过显微手术的方法切除,SimpsonⅠ级切除10例,SimpsonⅡ级切除8例,SimpsonⅢ级切除3例,全组无手术死亡。结论熟练掌握手术区域显微解剖,保护重要神经和血管,显微镜下切除肿瘤可提高肿瘤切除率,减少术后神经功能障碍。
Objective To sum up the experience of treating sphenoid ridge meningiomas by microsurgery via transzygomatic-pterion approach.Methods 16 cases of sphenoid ridge meningiomas were analyzed retrospectively.The surgery was performed via transzygomatic-pterion approach.15 cases were of medial type tumor and 6 cases lateral type tumor.Results All patients were treated with the microsurgical treatment.10 cases of Simpson I,8 cases of Simpson II and 3 cases of Simpson III were surgically treated without death result.Conclusion A higher precision surgical skill could be favorable to resect sphenoid ridge meningioma completely.Micromanipulation,proper preservation of vital vessel and nerves,can improve the removal rate of sphenoid ridge meningioma and reduce postoperative nervous malfunction.
出处
《淮海医药》
CAS
2011年第2期107-109,共3页
Journal of Huaihai Medicine
关键词
脑膜瘤
蝶骨嵴
显微手术
颧弓翼点入路
Memingioma
Sphenoid ridge
Microsurgery
Transzygomatic-pterion approach
