蝶骨嵴内侧型脑膜瘤手术后并发症原因探究  

Type the medial sphenoid ridge meningiomas surgery to explore the cause of complications

作　　者：张江红[1] 宗建海[1] 高国栋[1] 冯春国[2] 

机构地区：[1]第四军医大学唐都医院神经外科,西安710038 [2]安徽医科大学第一附属医院神经外科

出　　处：《陕西医学杂志》2015年第9期1155-1156,共2页Shaanxi Medical Journal

基　　金：安徽省科技攻关项目(08010302192)

摘　　要：目的:探讨蝶骨嵴内侧型脑膜瘤(SRMs)术后并发症的原因及防治措施。方法:将43例内侧型SRMs患者的临床资料按是否采用显微技术,对其疗效和术后并发症进行比较分析。结果:显微手术组肿瘤全切除率为64%,明显高于非显微手术组(P<0.01),术后并发症发生率为33%,明显低于非显微手术组(P<0.0)。结论:显微手术治疗能够提高肿瘤全切除率,降低术后并发症的发生率。术前对患者进行个体化综合评估,提高显微手术操作技能,掌握颅脑解剖,转换治疗理念,是减少蝶骨嵴内侧型脑膜瘤术后并发症发生率的有效措施。Objective：To investigate the causes and prevention of complications after operation of medial sphenoid ridge meningiomas.Methods：The clinical data of 43 patients with medial SRMs were analyzed by using the clinical data,and the clinical data were compared with the clinical data and the postoperative complications.Results：The total removal rate of tumor in microsurgery group was 64%,significantly higher than that of microsurgery group（P〈0.01）,and the postoperative complication rate was 33%,significantly lower than that of microsurgery group（P〈0.01）.Conclusion：Microsurgical treatment can improve the total removal rate of tumor,reduce the incidence of postoperative complications.Before surgery the patient individual comprehensive evaluation,improve the microsurgical skills,master the brain anatomy,transform the concept of treatment is to reduce medial sphenoid ridge meningiomas postoperative complication rate of effective measures.

关 键 词：脑膜瘤/外科学 显微外科手术 

分 类 号：R739.45[医药卫生—肿瘤]