大型鞍结节脑膜瘤的显微切除

Microsurgical Removal of Large Tuberculum sellae meningiomas

目的 探讨鞍结节脑膜瘤手术治疗的入路选择及术中注意要点。方法 对 15例鞍结节脑膜瘤的临床资料进行回顾性分析。结果 15例均采用显微手术治疗 ,全切 14例 ,大部切除1例 ,无死亡。结论 选择正确的手术入路显微手术治疗鞍结节脑膜瘤 ,疗效满意。

Objective To introduce our experience in the microsurgical removal of tuberculum sellae meningiomas and investigate the selection of surgical approaches and intraoperative keys of tuberculum sellae meningiomas.Methods Clinical data of 15 cases with tuberculum sellae meningiomas were retrospectively analyzed.Results Of these 15 cases,14 cases were removed totally,1 case subtotally removed.No patient died of the surgery.Conclusions It is concluded that satisfactory outcome could be expected when the correct approach used for microsurgical operation on patient with large tuberculum sellae meningiomas.