鞍结节脑膜瘤的影像学特征及翼点锁孔手术治疗  

Imaging diagnosis and treatment of tuberculum sellae meningiomas by microsurgery through pterional keyhole approach

作　　者：秦汉[1] 龚杰[1] 张戈[1] 姚国杰[1] 黄成[1] 甘志强[1] 李成才[1] 吕健[2] 

机构地区：[1]广州军区武汉总医院神经外科,武汉430070 [2]广州军区武汉总医院消毒供应科,武汉430070

出　　处：《中国临床神经外科杂志》2014年第11期641-644,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨鞍结节脑膜瘤的影像学特点及翼点锁孔入路显微手术治疗的效果。方法回顾性分析98例鞍结节脑膜瘤患者的临床资料,均采用翼点锁孔入路开颅显微手术切除肿瘤。结果本组98例鞍结节脑膜瘤增强MRI呈显著均一强化,84例伴有脑膜尾征。本组肿瘤全切除80例,次全切除18例。本组无手术死亡病例。术后随访2月~10年,10例复发。结论掌握鞍结节脑膜瘤的特征性影像学表现对于术前正确诊断具有重要价值。翼点锁孔入路显微手术治疗鞍结节脑膜瘤效果良好,具有创伤小、并发症少、病人术后恢复快等优点。ObjectivesTo explore the image characteristics and differential diagnosis of tuberculum sellae meningiomas, thetechnique of microsurgery through pterional keyhole approach for the tumors and its therapeutic effect.MethodsThe clinical data of 98 patients with tuberculum sellae meningiomas, who underwent microsurgery through pterional keyhole approach from January, 2004 toJune, 2014, were analyzed retrospectively.ResultsMRI imaging features of tuberculum sellae meningiomas were varied. Of 98 patientswith tuberculum sellae meningiomas, 80（81.6%） received total resection of the tumors, 18（18.4%） subtotal. No patient died from thesurgery. The tumors recurred in 10 of 98 patients who were followed up from 2 months to 10 years.ConclusionsThe imagingcharacteristics of tuberculum sellae meningiomas are of important value to its correct diagnosis. The microsurgery through the pterionalkeyhole approach is similar to the microsurgery through traditional pterional approach in the resection extent of the tumors, and it hasmany merits such as less trauma, fewer complications, and faster recovery in the patients undergoing the operation.

关 键 词：鞍结节脑膜瘤 翼点入路 锁孔手术 效果 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]