枕骨大孔区脑膜瘤的手术治疗  

Surgical management of foramen magnum meningiomas

作　　者：周迎春[1] 赵洪洋[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经外科,武汉430022

出　　处：《中华脑科疾病与康复杂志（电子版）》2015年第6期4-6,共3页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

摘　　要：枕骨大孔区脑膜瘤因与椎动脉关系密切,周围毗邻延髓、颈髓和后组颅神经,手术切除难度大,术后并发症多,仍然是神经外科难题之一。本文总结了枕骨大孔区脑膜瘤的常见手术入路、治疗方式及入路选择、显微手术中避免损伤血管神经的操作要点和术后处理,以引起神经外科医师的重视,促进枕骨大孔区脑膜瘤疗效的不断提高。Vertebral artery, the lower cranial nerves, medulla oblongata and cervical spinal cord are involved in the foramen magnum meningiomas, which brings difficulties to the surgical management of the tumor, consequently, the morbidity of the surgical treatment of foramen magnum meningiomas is high, so the surgical resection of the tumor is still a challenge to neurosurgeon. This article summarized surgical approaches,treatment decision, the microsurgical skills to preserve the vital adjacent structure, and the key points of postoperative treatment of the foramen magnum meningiomas, to improve the operative outcome of the tumor.

关 键 词：脑膜瘤 外科手术 椎动脉 颅神经 延髓 

分 类 号：R739.45[医药卫生—肿瘤]