经眶上锁孔入路显微手术切除鞍区脑膜瘤的疗效  

Curative effect of supraorbital keyhole approach for resection of sellar region meningioma

作　　者：张信芳[1] 

机构地区：[1]山东菏泽市立医院神经外科,菏泽274000

出　　处：《中国实用神经疾病杂志》2015年第1期60-61,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨经眶上锁孔入路显微手术切除鞍区脑膜瘤的方法及临床效果。方法回顾性分析2010-01—2013-01我院采用经眶上锁孔入路显微手术切除鞍区脑膜瘤11例患者的临床资料,探讨手术效果、手术技巧及并发症发生情况。结果肿瘤全切除10例（Simpson Ⅰ级切除2例,Ⅱ级切除8例）,次全切除l例（SimpsonⅢ级切除）。所有患者术后视力及视野缺损改善,术后出现尿崩3例,经治疗1-2周好转;随访6个月-5a,术后2a左右肿瘤复发1例,余均恢复良好。结论应用经眶上锁孔入路显微手术治疗鞍区脑膜瘤有较好的临床效果,值得临床推广。Objective To investigate the curative effect of supraorbital keyhole approach for resection of sellar region meningioma. Methods The data of 11 patients with sellar region meningioma resected by supraorbital keyhole approach in our hospital from January 2010 to January 2013 were retrospectively analyzed, and then the surgical effect, skills and complications were evaluated. Results Ten cases of patients were treated by whole tumor resection including 2 cases of Simpson Ⅰ grade resection and 8 cases of Simpson Ⅱ grade resection. One case of patient was subtotally resected, namely Simpson Ⅲ grade resection. The visual acuity and eyeshot were significantly improved in all of patients. Three cases of patients occurred diabetes insipidus, which was improved by 1 to 2 weeks treatment. Followed up for 6 months to 5 years, one patient occurred tumor recurrence and the rest were recovered well. Conclusion Supraorbital keyhole approach for microsurgical technique has better curative effect on treating sellar region meningioma, which is worthy of application.

关 键 词：鞍区脑膜瘤 经眶上锁孔入路 显微手术 

分 类 号：R739.41[医药卫生—肿瘤]