海绵窦旁肿瘤的显微外科治疗

Microsurgical treatment of para-cavernous sinus tumors

目的观察海绵窦旁肿瘤的临床特征、手术方式及治疗效果。方法对我院收治的24例海绵窦旁肿瘤的手术患者进行回顾性分析。结果所有病例都采用经硬膜内径路切除肿瘤,18例采用翼点/扩大翼点入路,6例采用颞枕/颞下入路。24例中脑膜瘤11例,三叉神经鞘瘤5例,海绵状血管瘤5例,表皮样囊肿1例,血管外皮细胞瘤1例,纤维肉瘤1例。全切除11例,次全切除10例,大部切除3例。结论海绵窦旁肿瘤的手术难度较高,风险大,针对不同性质的肿瘤需采用不同的手术策略,总体手术预后良好。

Objective To summarize the clinical features, surgical manners and effects on para- cavernous sinus. Methods The clinical data of 24 hospitalized patients with para-cavernous sinus tumors were analyzed retrospectively. Results All tumors were resected by interdural routes, 18 pterion approach and 6 infratemporal approach. The study consisted of 11 cases of meningiomas, 5 trigeminal neurinomas ,5 cavernous haemangiomas, 1 epidermoid cyst , 1 hemangiopericytoma and 1 fibrosarcoma. The tumors were totally removed in 11 cases, subtotally removed in 10 and partially removed in 1. Conclusion The surgery on para-cavernous sinus tumors are very difficult and highly risked, but the outcomes are quite good.