耳前直切口经颞下入路切除海绵窦区脑膜瘤  

Application of preauricular straight incision through subtemporal approach in microsurgical treatment of cavernous sinus meningioma

作　　者：毕智勇[1] 张鹏飞[1] 董程远[1] 李普贤[1] 张俊廷[1] 贾旺[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经外科,100050

出　　处：《中华神经外科杂志》2014年第6期545-548,共4页Chinese Journal of Neurosurgery

摘　　要：目的探讨耳前直切口经颞下入路显微手术治疗海绵窦区脑膜瘤的疗效。方法总结耳前直切口经颞下入路外科手术切除的36例海绵窦区脑膜瘤患者的临床资料，并进行术后定期随访。结果肿瘤24例全切除，8例近全切除，4例大部切除；随访期为6—30个月，肿瘤全切除的24例随访期间2例有复发，行伽马刀治疗；8例近全切除患者术后临床观察，6例肿瘤进展行伽马刀治疗；4例大部切除的患者术后均行伽马刀治疗，2例肿瘤无明显进展，2例肿瘤仍缓慢生长。结论对于海绵窦区脑膜瘤，耳前直切口颞下入路是一种良好的选择，此入路海绵窦暴露充分，保留了颧弓，手术创伤小。Objective To discuss the effects of the application of preauricuiar straight incision through subtemporal approach in the microsurgical treatment of cavernous sinus meningioma. Methods 36 cavernous sinus meningiomas were resected with preanricular straight incision through subtemporal approach. The clinical data and follow-up results were retrospectively summarized. Results The total resection was achieved in 24 cases, subtotal in 8, and partial in 4. The foilow-up duration was 6-30 months. Two of the total resection eases were given Gamma Knife （GK） radio-surgery because of recurrences. Six of the subtotal resection cases also were given GK treatment because of tumor progression. All the 4 partial resection cases were given postoperative GK treatment, and the results showed that there was no significant progress in 2 tumors, ancl slow growth in 2. Conclusions he preaurlcular-subtemporal straight incision approach could achieve good result when dealing with the cavernous sinus meningioma. This approach could fully expose the cavernous sinus , reserve the zygomatic arch and reduce the surgical trauma.

关 键 词：海绵窦 脑膜瘤 显微外科手术 颞下入路 

分 类 号：R739.45[医药卫生—肿瘤]