骑跨小脑幕巨大脑膜瘤显微手术治疗  

Microscopic surgery for astride tentorium cerebelli giant meningioma

作　　者：张绪新[1] 李彦钊[1] 邓东风[1] 孙丕通[1] 任刚[1] 

机构地区：[1]大连大学附属中山医院神经外科,辽宁大连116001

出　　处：《实用临床医药杂志》2015年第19期34-35,43,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11522277)

摘　　要：目的 探讨骑跨小脑幕巨大脑膜瘤显微手术治疗的技巧。方法 回顾2009年7月—2015年5月大连大学附属中山医院神经外科9例跨小脑幕巨大脑膜瘤患者的临床资料,包括入院情况、术前检查、手术经过、病理资料、术后效果及随访等,总结治疗体会。结果 9例患者术后均恢复良好,共济失调症状消失,头痛及颅高压症状消失。随访时间为6个月~5年,患者均无肿瘤复发。结论 单侧或双侧幕下小脑上入路切除跨幕巨大脑膜瘤有利于肿瘤充分暴露,术中便于灵活操作,值得临床选择与推广。Objective To explore the microscopic operative skills for astride tentorium cerebelli giant meningioma. Methods The clinical materials of 9 patients with astride tentorium cerebelli giant meningioma treated in department of neurosurgery of Zhongshan hospital affiliated to dalian university from June 2009 to May 2015 were retrospectively analyzed,including hospitalization conditions,preoperative examinations,surgical course,pathological data,postoperative efficacy and follow up.The therapeutic experience was summarized. Results All of 9 patients recovered favorably after operation,with symptoms of ataxia,headache and intracranial hypertension disappeared. After followed up of 6 months to 5 years,all patients recovered favorably without recurrent tumors. Conclusion Unilateral or bilateral subtentorial superior cerebellar approach is beneficial to the full exposure of tumors and the convenience of intra-operative operation in incising astride tentorium cerebelli giant meningioma,so it is worthy of application in clinic.

关 键 词：小脑幕 骑跨 脑膜瘤 显微手术治疗 

分 类 号：R739.45[医药卫生—肿瘤]