显微手术切除30例小脑幕脑膜瘤的治疗体会  

Surgical management of infra and supra tentorial menmingiomas： a treatment experience analysis of 30 cases

作　　者：修俊刚[1] 柯以铨[2] 杨志林[1] 陈桂增[1] 

机构地区：[1]东莞市人民医院神经外科,523059 [2]南方医科大学珠江医院神经外科,广东神经外科研究所.广东省脑功能修复与再生重点实验室,广州510282

出　　处：《中华神经医学杂志》2012年第7期706-708,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨小脑幕脑膜瘤的手术治疗体会。方法回顾性分析东莞市人民医院神经外科自2004年7月至2011年9月显微手术治疗的30例小脑幕脑膜瘤患者的临床资料，包括病理资料、手术经过、术后效果及随访研究等，并总结治疗体会。结果肿瘤全切19例，近全切6例，部分切除5例。术后患者症状均有不同程度的改善。经过8个月～5年的随访研究，无一例患者死亡，均无明显手术并发症发生。结论对于小脑幕脑膜瘤，由于其自身特点，应当选择适当的手术人路，术中采用显微手术技巧，并妥善处理和保护静脉窦、神经、脑干等，这是提高手术疗效和患者术后生活质量的关键。Objective To discuss the microsurgical approaches of 30 patients with tentorial meningiomas and conclude their treatment experiences. Methods A retrospective analysis of clinical data was performed on 30 patients underwent microsurgical approaches from July 2004 to September 2011. The pathology of these patients was confirmed after operation. The outcome and follow-up were evaluated. Results The meningiomas were totally removed in 19 patients subtotally in 6, and partially in 5. All the patients received 8 months to 5 years of follow-up： no mortality or death were found; no surgical related complications were noted. Conclusion Appropriate approaches according to the size and site of the tumors, intraoperative protection of venous sinus, facial and acoustic nerves and brain stem are the key points to improve the therapeutical outcomes and the post-operative quality of patients with infra and supra tentorial menmingiomas.

关 键 词：脑膜瘤 小脑幕 显微外科手术 

分 类 号：R739.45[医药卫生—肿瘤]