24例鞍隔脑膜瘤的分型与手术入路关系

Relationship between typing of diaphragma sellae menin giomas and surgical approaches:A report of 24 cases

目的 探讨不同部位鞍隔脑膜瘤 (DSM)分型与手术入路的选择。方法 对CT扫描提示为垂体瘤和鞍结节脑膜瘤后再用MRI复查共发现DSM 2 4例 ,按Kinjo分型。 结果 2 4例均行手术治疗 ,19例全部切除 ,5例大部切除 ,无手术死亡和严重功能障碍。结论 DSM的分型与临床表现特征、手术入路有密切关系。

Objective To study the typing o f diaphragma sellae meningiomas(DSM) and selection of surgical approaches.Methods Twenty four cases were diagnosed preliminarily by CT and fur ther confirmed as DSM by MRI.Results The radical surgery was pe rformed in 19 patients,and large partial removal was done in 5 patients.Neither postoperative mortality nor severe functional disturbance occurred.Concl usion Typing of DMS is closely assoicated with clinical manefastations and surgical approaches.