鞍旁脑膜瘤的显微外科治疗

  • 摘要: 目的:探讨鞍旁脑膜瘤的显微手术技巧及手术疗效。方法:采用翼点和扩大翼点入路行显微手术治疗29例鞍旁脑膜瘤患者。结果:29例患者均顺利完成手术,其中肿瘤全切21例、次全切5例、部分切除3例,平均手术时间4.5 h。术后发生动眼神经麻痹5例,1例仍有癫痫发作,对症处理及抗癫治疗后好转。本组无手术死亡。5例次全切者术后行放射治疗,随访2年未见肿瘤复发。术后随访3~60个月(平均35月),5例患者的视力明显好转,3例患者癫痫发作消失,2例肢体活动改善,其余患者均恢复良好,未见明显并发症。结论:采用翼点和扩大翼点入路,利用显微技术可以明显提高肿瘤全切率。对于无法全切的肿瘤,可考虑姑息手术后行放射治疗。

     

    Abstract: Objective:To explore the microsurgery technique and outcome in parasellar meningiomas.Methods:The clinical data of 29 cases of parasellar meningiomas were analyzed retrospectively. The main points of microsurgical treatments of parasellar meningiomas.Results:All of 29 cases were taken under microsurgical techniques. 21 cases were total removed and 5 cases were subtotally removed ,3 cases were partially removed. The microsurgery outcomes were satisfactory in all patients and no patients died.Conclusion:The microsurgery via the pterional approach and enlarged pterional approach to parasellar meningiomas can greatly heighten total resection rate of the tumors . Palliative operations combined with postoperative radiotherapy should be carried out for tumors that can only be subtotally and partially removed.

     

/

返回文章
返回