蝶骨嵴脑膜瘤临床诊治要点分析

Analysis of Key Points of Clinical Diagnosis and Treatment of Sphenoid Ridge Meningiomas

目的 总结分析蝶骨嵴脑膜瘤(SRM)临床诊治的要点,以期提高SRM早期诊断和早期治疗的有效性。方法 回顾性分析总结44例SRM的临床表现、手术方式、手术效果等指标,探索SRM诊治的最佳方法。结果 内侧型SRM死亡率为12.50％(4/32),外侧型无死亡,总体死亡率为9.09％(4/44)。结论 CT、MRI、MRA和DSA等多种放射影像学技术的联合应用对SRM早期诊断具有重要价值;根据个体化原则,重视首次治疗与多种手段综合应用是提高SRM治疗效果的有效途径。

Objective To improve the early diagnosis and early treatment of sphenoid ridge meningiomas (SRMs). Methods The clinical data of forty-four cases of SRMs were analyzed retrospectively. Results The mortality of medial SRMs was 12.50% (4/32). Nobody in the patients with lateral SMRs died. The total mortality was 9.09% (4/44). Conclusions The combined utilization of CT, MRI, MRA and DSA was of the greatest value for the early diagnosis of SRMs. Emphasizing the first therapy and the comprehensive treatment on the personalized principles are important to improving curative effect on SRMs.