不同手术入路治疗鞍结节脑膜瘤67例临床效果

Clinical Effects of Different Surgical Approaches in Treatment of 67 Patients with Tuberculum Sellae Meningiomas

目的探讨额下入路和翼点入路切除鞍结节脑膜瘤的效果。方法选择2004年5月—2014年5月河南省人民医院收治鞍结节脑膜瘤67例,按手术入路方法分为额下入路组37例和翼点入路组30例,观察两组术中肿瘤切除等级、术后2周视力恢复以及并发症发生情况。结果额下入路组肿瘤全切除率高于翼点入路组(P<0.05);两组视力改善情况及并发症发生率比较差异无统计学意义(P>0.05)。结论额下入路手术视野更佳,手术全切除率更高,但两种手术入路方法对术后视力恢复及并发症发生情况无明显影响。

Objective To discuss the clinical effects of subfrontal and pterional approaches in excision of tuberculum sellae meningioma. Methods A total of 67 inpatients with tuberculum sellae meningioma admitted during May2004 and May 2014 were divided into subfrontal approach group（ n = 37） and pterional approach group（ n = 30） according to different surgical approaches. The intraoperative levels of tumor resection,vision recovery degree 2 weeks after surgery and incidence rate of complications in the two groups were observed. Results The total resection rate in the subfrontal approach group was higher than that in the pterional approach group（ P〈0. 05）; there were no significant differences in the vision recovery and the incidence rate of complications in the two groups（ P〉0. 05）. Conclusion The subfrontal approach has good surgical field and a high rate of total resection,but there is no significant effect on the vision recovery and incidence rate of complications following the two surgical approaches.