天幕脑膜瘤显微手术治疗  

Microsurgery Treatment of Tentorial Meningiomas

作　　者：徐义昌 徐英纳 施圣晖 许兴 钱进 赵昌平 张勇 

机构地区：[1]宣城市人民医院神经外科,安徽宣城242000

出　　处：《青岛医药卫生》2011年第5期334-335,共2页Qingdao Medical Journal

摘　　要：目的探讨天幕脑膜瘤的临床特点、手术入路及显微手术技巧。方法回顾性分析9例天幕脑膜瘤患者的临床表现、影像学资料、手术入路、切除程度。结果患者平均年龄60.4岁,主要临床表现为头痛、步态不稳、耳鸣和听力下降。根据肿瘤附着于天幕的位置分为5型。直接手术9例,2例幕上入路,7例幕下入路。肿瘤全切(SimpsonⅠ级和Ⅱ级)8例,次全切除1例。结论天幕脑膜瘤应积极手术治疗。适宜的手术入路及精细的显微外科技巧,可显著提高肿瘤全切率,减少复发,降低并发症。Objective To investigate the clinical manifestation,operative approach and microsurgical technique of surgery for tentorial meningiomas.Methods A retrospective study was done on 9 patients with TM.The clinical presentation,neuroradiological data,surgical approach and the extent of resection of 9 cases were reviewed.Results The average age was 60.4 years.Head pain,gait ataxia,tinnitus and hearing impairment were the most common clinical manifestation.According to the site of tumor attachment,TM was divided into five subgroups.Direct surgery was performed in 9 cases,including 2 supratentorial and 7 infratentorial approach.Total removal（Simpson groupⅠandⅡ） was done in 8 patients and subtotal removal in 1 patient.Conclusion Tentorial meningioma is amenable to aggressive surgery.Fine therapeutic efficacy and low disability rate can be obtained by microsurgical techniques to resect tentorial meningiomas with appropriate surgical approach and elaborate microneurosurgical skills.

关 键 词：脑膜瘤 天幕 显微外科手术 

分 类 号：R739.45[医药卫生—肿瘤]