老年人蝶骨嵴内侧型脑膜瘤的显微手术  

Microsurgical removal of medial sphenoid wing meningioma

作　　者：李玉山[1] 刘平[1] 杨子健[1] 

机构地区：[1]浙江省杭州市余杭区中医院脑外科,浙江杭州311106

出　　处：《吉林医学》2007年第9期1071-1072,共2页Jilin Medical Journal

摘　　要：目的:分析探讨老年人用显微手术提高蝶骨嵴内侧型脑膜瘤的全切经验。方法:对18例老年人蝶骨嵴内侧型脑膜瘤患者的手术治疗进行回顾性分析。结果:手术全切13例(72.22%),次切3例(16.67%),部分切除2例(11.11%),无死亡病例。结论:根据内侧型脑膜瘤比邻显微结构,采用显微技术,利用肿瘤与脑血管之间的蛛网膜间隙界面,阻断基底部血运,完整切除肿瘤。大型肿瘤应保护周围血管、神经组织,分块切除。部分侵到下丘脑、海绵窦的肿瘤可考虑姑息性手术。Objective To explore microsurgical totalectomy experience promotion with medial sphenoid wing meningioma. Method 18 eases operative patients with medial sphenoid wing meningioma were analyzed retrospectively. Results Totaleetomy in 13 （72.22%）, subtotalectomy in 3 （ 16.67% ）, neartotaleetomy in 2 （ 11.11% ）, and no death ease. Conclusion To remove tumour completely,using arachnogap interface between tumour and cerebrovasculature, adopting microscopy and blocking tumour circulation, according to microstructure arroud medial meningioma. For large tumour must be removed times for protecting blood vessel and nervous tissue nearly. Some tumours with hypothalamus and cavernous sinus invasion can be carried out palliative operation.

关 键 词：老年人蝶骨嵴内侧型 脑膜瘤 显微手术 

分 类 号：R739.4[医药卫生—肿瘤]