眶上翼点入路处理大型蝶骨嵴内侧脑膜瘤和鞍结节脑膜瘤  

Supraorbitalpterional approach for microsurgical management of large meningiomas in medial sphenoid wing and tuberculum sellae

作　　者：卢亦成[1] 丁学华[1] 胡国汉[1] 王驹[1] 侯立军[1] 楼美清[1] 陈志刚[1] 张光霁[1] 

机构地区：[1]第二军医大学长征医院神经外科,上海市神经外科研究所上海200003

出　　处：《第二军医大学学报》2001年第8期705-707,共3页Academic Journal of Second Military Medical University

基　　金：上海市优秀学科带头人基金资助项目( 99XD1 40 0 2 )

摘　　要：目的 :总结近 5年来采用眶上翼点入路和显微外科手术治疗 1 7例大型蝶骨嵴内侧脑膜瘤和鞍结节脑膜瘤的经验和体会。方法 :采用眶上翼点入路和显微外科技术治疗大型鞍结节脑膜瘤 9例和大型蝶骨嵴内侧脑膜瘤 8例。结果 :大型鞍结节脑膜瘤手术全切除 8例 ,次全切除 1例。大型蝶骨嵴内侧脑膜瘤全切除 7例 ,次全切除 1例。全组无手术死亡。术前视力明显减退的 1 1例患者 ,术后 4例明显好转 ,2例改善 ,4例无变化 ,1例较术前恶化。结论 :眶上翼点入路在大型蝶骨嵴内侧脑膜瘤和鞍结节脑膜瘤的手术处理中是一种较好的手术入路。Objective: To evaluate the application of supraorbital pterional approach in microsurgical management of large meningiomas located in medial sphenoid wing and tuberculum sellae. Methods: Supraorbital pterional approach was used to remove the large meningiomas of medial sphenoid wing(9 cases) and tuberculum sellae(8 cases) in 17 cases. Results: Of 17 cases in this group, 15 cases had total removal of tumors, only one patient with sphenoid wing meningioma and one with tuberculum sellae meningioma had subtotal removal. In 11 patients with pre operative severe visual deterioration, 6 patients was markedly improved, 4 patients unchanged and one patient worsened post operatively. Conclusion: The supraorbital pterional approach is a preferable choice in management of large meningiomas located in medial sphenoid wing and tuberculum sellae.

关 键 词：眶上翼点入路 脑膜瘤 显微外科手术 蝶骨嵴内侧 鞍结节 

分 类 号：R739.45[医药卫生—肿瘤] R730.56[医药卫生—临床医学]