经颧弓翼点入路显微切除蝶骨嵴脑膜瘤(附21例分析)  

Surgical treatment of sphenoid ridge meningioma through transzygomatic-pterion approach: a report of 21 cases

作　　者：苏杰[1] 严畅[1] 陈伟强[1] 杨光[1] 吕晨[1] 

机构地区：[1]安徽省蚌埠市第三人民医院神经外科,233000

出　　处：《淮海医药》2011年第2期107-109,共3页Journal of Huaihai Medicine

摘　　要：目的总结蝶骨嵴脑膜瘤患者的显微外科手术技巧。方法回顾性分析21例经显微外科手术治疗的蝶骨嵴脑膜瘤患者(内侧型15例,外侧型6例)的临床资料。结果所有病例通过显微手术的方法切除,SimpsonⅠ级切除10例,SimpsonⅡ级切除8例,SimpsonⅢ级切除3例,全组无手术死亡。结论熟练掌握手术区域显微解剖,保护重要神经和血管,显微镜下切除肿瘤可提高肿瘤切除率,减少术后神经功能障碍。Objective To sum up the experience of treating sphenoid ridge meningiomas by microsurgery via transzygomatic-pterion approach.Methods 16 cases of sphenoid ridge meningiomas were analyzed retrospectively.The surgery was performed via transzygomatic-pterion approach.15 cases were of medial type tumor and 6 cases lateral type tumor.Results All patients were treated with the microsurgical treatment.10 cases of Simpson I,8 cases of Simpson II and 3 cases of Simpson III were surgically treated without death result.Conclusion A higher precision surgical skill could be favorable to resect sphenoid ridge meningioma completely.Micromanipulation,proper preservation of vital vessel and nerves,can improve the removal rate of sphenoid ridge meningioma and reduce postoperative nervous malfunction.

关 键 词：脑膜瘤 蝶骨嵴 显微手术 颧弓翼点入路 

分 类 号：R739.45[医药卫生—肿瘤] R616.2[医药卫生—临床医学]