神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤  

Neuroendoscopic surgery of supraorbital keyhole approach for the removal of medium and large sized tuberculum sellae meningiomas

作　　者：王俊伟[1] 赵秀文[1] 傅楚华[1] 李学刚[1] 汪攀[1] 冯华[1] 吴南[1] 

机构地区：[1]第三军医大学西南医院神经外科/中国人民解放军神经外科研究所,重庆400038

出　　处：《重庆医学》2017年第6期758-759,763,共3页Chongqing medicine

基　　金：国家卫生和计划生育委员会卫生行业公益专项基金(201402008)

摘　　要：目的探讨神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤(TSM)的疗效。方法总结与分析所收治的7例14只眼以视力障碍为主要表现的TSM患者,肿瘤直径2.8~4.7cm,经眉弓切口,形成3.5cm×2.0cm眶上骨窗,在神经内镜下切除肿瘤。结果 7例肿瘤均全切(simpsonⅠ级2例,simpsonⅡ级5例)。术后视力恢复情况:9只眼视力好转,3只眼视力维持,2只眼视力恶化。随访6~13个月未见肿瘤复发。结论神经内镜下经眶上锁孔入路易于处理肿瘤周围的神经血管结构,便于保护视神经与周围血管,是切除大、中型TSM的有效方法。Objective To explore the effect of neuroendoscopic surgery for the removal of medium and large sized tuberculum sellae meningiomas through supraorbital keyhole approach.Methods A retrospective research was performed on 7case of patients with tuberculum sellae meningioma who underwent endoscopic surgery through supraorbital keyhole approach.The main performance of patients as tumor diameter were 2.8-4.7cm and the skin incision located at superciliary aich which size of intra-frontal bone window was 3.5cm×2.0cm.Results Total removal was achieved in 7cases（simpsonⅠgrade in 2patients,simpsonⅡgrade in 5patients）.Postoperative,the visual outcomes of eyes were showed improvement in 9eyes,remained steady in 3eyes,and deterioration in 2eyes.All patients were followed up for 6-13 months and no recurrence was found.Conclusion Neuroendoscopic surgery through supraorbital keyhole approach is an effective method for the resection of medium and large sized tuberculum sellae meningiomas.

关 键 词：内窥镜检查 眶上锁孔入路 脑膜肿瘤 蝶鞍 

分 类 号：R739.45[医药卫生—肿瘤]