三叉神经痛型桥小脑角脑膜瘤的临床特点与手术治疗  

Clinical features and surgical treatment of cerebellopontine angle meningiomas with trigeminal neuralgia

作　　者：夏养华 牛朝诗 计颖 程传东 费小瑞 董永飞 Xia Yanghua Niu Chaoshi Ji Ying et al(Department of Neurosurgery, the Provincial Hospital Affiliated to Anhui Medical University ,AnHui Province Key Laboratory of Brain Function and Brain Disease, Hefei, 230001)

机构地区：[1]安徽医科大学附属省立医院神经外科,脑功能与脑疾病安徽省重点实验室,安徽省脑立体定向神经外科研究所,合肥230001

出　　处：《立体定向和功能性神经外科杂志》2016年第3期148-150,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

基　　金：脑功能与脑疾病安徽省重点实验室绩效考核补助项目(编号:1506c085017)

摘　　要：目的探讨三叉神经痛型桥小脑角脑膜瘤的临床特点和治疗方法。方法回顾性分析我院2008年9月至2015年10月收治的16例以三叉神经痛为首发症状的桥小脑角脑膜瘤患者的临床资料及手术治疗效果。结果肿瘤全切除12例,次全切除3例,大部分切除1例。2例另行三叉神经感觉根部分切断术,1例行三叉神经微血管减压术。术后疼痛消失15例,疼痛好转1例。术后并发症包括面部麻木、暂时性面瘫、听力下降、动眼神经麻痹及颅内感染。术后平均随访45个月,无复发病例。结论桥小脑角脑膜瘤是继发性三叉神经痛的一个常见原因,手术治疗效果满意,术中要对三叉神经充分减压。Objective To investigate the clinical features and treatment of cerebellopontine angle meningiomas with trigeminal neuralgia.Methods The clinical datas and operative results of16 cerebellopontine angle meningiomas with trigeminal neuralgia treated in our neurosurgery department between September 2008 and October 2015 were analyzed retrospectively.Results Total resection was achieved in 12 patients,3subtotal removal and 1partial removal.2patients accepted additional sensory rhizotomy of trigeminal nerve,1received microvascular decompression.Pain disappeard in 15 patients and alleviated in 1after operation.Postoperative complications included facial numbness,temporary facial paralysis,reduction of hearing,oculomotor paralysis and intracranial infection.No recurrences were found during follow-up for average 45 months.Conclusion The cerebellopontine angle meningioma is a common cause of secondary trigeminal neuralgia.Surgical outcome is satisfactory.Complete decompression of trigeminal nerve during operation is important.

关 键 词：脑膜瘤 桥小脑角 三叉神经痛 显微手术 

分 类 号：R739.45[医药卫生—肿瘤]