鞍结节脑膜瘤的手术入路及显微手术技巧  

The Operative Approachs and Microsurgical Techniques of Tuberculum Sellae Meningiomas

作　　者：陈靖[1] 石松生[1] 杨卫忠[1] 陈春美[1] 

机构地区：[1]福建医科大学附属协和医院神经外科,福州350001

出　　处：《福建医科大学学报》2013年第6期372-375,共4页Journal of Fujian Medical University

摘　　要：目的探讨显微手术切除鞍结节脑膜瘤的手术入路选择和显微外科技巧。方法回顾性分析46例鞍结节脑膜瘤患者的临床资料,46例均应用显微外科技术切除,其中额下入路19例,翼点入路14例,额下-翼点联合入路7例,眶上锁孔入路6例。结果 46例中,肿瘤全切除(SimpsonⅠ、Ⅱ级)42例,次全切除(SimpsonⅢ级)4例。手术后视力改善39例,无改变5例,视力减退2例。结论适宜的手术入路和精细的显微外科技巧,可显著提高鞍结节脑膜瘤的手术疗效。Objective To explore the surgical approach selection and microsurgical techniques of microsurgical resection of tuberculum sellae meningiomas . Methods 46 cases of tuberculum sellae men-ingiomas were retrospectively analyzed . All the cases were performed by microsurgery . 19 cases via subfrontal approach ,14 cases via pterion approach ,7 cases via forehead-pterion combined approach ,and 6 cases via supraorbital keyhole approach . Results A total resection（Simpson gradeⅠandⅡ） was conduc-ted in 42 patients ,and a subtotal resection（Simpson grade Ⅲ） in 4 patients . Visual acuity was improved in 39 patients ,unchanged in 5 patients and worse in 2 patients . Conclusion Suitable approach selection and skilled microsurgical techniques can guarantee the surgical therapeutic effects .

关 键 词：蝶鞍 脑膜瘤 脑膜肿瘤 视觉 显微外科手术 

分 类 号：R739.45[医药卫生—肿瘤]