嗅沟脑膜瘤的手术策略  

Strategy of microsurgery for olfactory groove meningiomas

作　　者：张训[1] 张良[2] 谢清[2] 杨宏[1] 

机构地区：[1]广州医学院第二附属医院神经外科,广州510260 [2]广州市脑科医院神经外科,510370

出　　处：《中华神经医学杂志》2009年第5期521-523,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨嗅沟脑膜瘤的手术治疗策略。方法回顾性分析广州医学院第二附属医院神经外科自2003年1月至2008年12月收治的22例嗅沟脑膜瘤患者的临床资料和手术效果。结果本组病例中冠状开颅双侧额下入路12例，冠状开颅单侧额下入路3例．翼点入路4例，眶上锁孔入路3例。SimpsonⅠ级切除13例，SimpsonⅡ级切除7例，SimpsonⅢ级切除2例。随访16例，时间5个月～5年，均行头颅MRI检查，未见肿瘤复发。结论嗅沟脑膜瘤的手术入路应根据肿瘤的大小和生长部位来选择，手术者要结合自己的熟练程度灵活掌握和运用。Objective To explore the strategy of microsurgery for olfactory groove meningiomas. Methods The clinical data and surgical outcome of 22 patients with olfactory groove meningioma were retrospectively analyzed. Results Microsurgical tumor resection was performed through the bifrontal approach in 12 patients, unilateral subfi＇ontal approach in 3 patients, pterion approach in 4 patients and supraorbital approach in 3 patients. Simpson grade Ⅰ resection was achieved in 13 cases, grade Ⅱ in 7 cases and grade Ⅲ in 2 cases. Sixteen patients were followed up for 5 months to 5 years, during which magnetic resonance imaging showed no tumor reoccurrence. Conclusion The microsurgical approach for olfactory groove meningiomas should vary depending on the size and location of the tumors.

关 键 词：嗅沟脑膜瘤 显微外科手术 

分 类 号：R686[医药卫生—骨科学]