颅底脑膜瘤的诊断及治疗(附46例报告)  

DIAGNOSISANDTREATMENTOF SKULLBASEMENINGIOMAS

作　　者：吾太华[1] 周荣根[1] 黄强[1] 戴伟民[1] 揭园庆[1] 余国峰[1] 

机构地区：[1]浙江省衢州市人民医院

出　　处：《河北医学》1999年第7期23-25,共3页Hebei Medicine

摘　　要：目的：介绍４６例颅底脑膜瘤的诊断和治疗。方法：分析４６例颅底脑膜瘤的临床及影像学特征、手术方法、手术结果、术后并发症等。结果：颅底脑膜瘤全切除３７例，次全切除９例，其中１２例采用显微手术，疗效优于直视手术，术后死亡２例。５例术后颅神经症状加重，２１例无任何神经损伤症状，２０例颅神经症状同术前。结论：颅底脑膜瘤的手术治疗，熟悉颅底解剖选择良好入路可提高疗效，利用显微技术可提高全切除率。Objective:WT5,5BZTointroducethediagnosisandtreatmentof46caseswithskullbasemeningiomas. Methods:5,5BZTodiscuss46caseswithskullbasemeningiomasoftheclinicalandpreoperativeMRIfeatures,operativeapproaches,resultofoperationpostoperativecomplications.Result: Totalresectionofthetumorwasachievedin37cases,subtotalresectionin9cases.12caseswithinithadbetterresultsthandirectlyvisibleoperationbymicrosurgicaltreatment.2patientsdiedinthisseries.5patientshadworseningCNspalsies,21patientshadintact,and20patientsCNsdeficitdidnotchangeafteroperation. Conclusion: Understandingofthemicroanatomyaboutskullbasetoselectgoodapproachcanimprovetheropeuticeffectiveness.BymicrosurgerycanimprovetotalresectionmorbidityandcanreducepostoperativecomplicationsandCNsdeficitmorbidity.

关 键 词：颅底肿瘤 脑膜瘤 显微外科手术 诊断 

分 类 号：R739.45[医药卫生—肿瘤]