鞍结节脑膜瘤的显微外科治疗(附65例报告)  

Microsurgical treatment of tuberculum sellae meningiomas: Review of 65 cases

作　　者：魏学忠[1] 刘波[1] 李智勇[1] 

机构地区：[1]沈阳军区总医院神经外科,110015

出　　处：《中华神经外科杂志》2001年第5期294-296,共3页Chinese Journal of Neurosurgery

摘　　要：目的　提高鞍结节脑膜瘤的显微外科治疗水平。方法　报告 6 5例鞍结节脑膜瘤的临床表现 ,诊断和显微外科治疗结果。结果　所有病例均在手术显微镜下进行 ,肿瘤全切除率为93 8% ,手术死亡率为 3 1%。术中一侧或双侧嗅神经的保留率为 86 %。仔细辩认和分离垂体柄 ,防止损伤后发生尿崩症 ,垂体柄的保存率达 95 4%。术中颈内动脉或其它血管破裂出血 ,可行显微缝合。大多数病人术后视力得到满意的恢复。结论　根据肿瘤的部位和大小 ,选择恰当的手术入路。应用显微外科技术能够显著提高肿瘤的全切率和降低手术死亡率。Objective To improve the microsurgical techniques for tuberculum sellae meningioma. Methods A series of 65 consecutive patients treated microsurgically were reviewed retrospectively. Results All patients underwent craniotomy with an operating microscope. Complete removal was performed in 61 cases (93 8%). Mortality was 3 1%. It was possible to preserve the olfactory tracts bilaterally or unilaterally in 86%. Most patients showed good visual improvement after operation. Conclusions Use of the operating microscope appeared to increase the total removal rate while lowing the mortality.

关 键 词：鞍结节脑膜瘤 显微神经外科 手术方法 病例报告 

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