神经内镜下眶上锁孔入路切除12例前颅底脑膜瘤报道  

Resection of anterior skull base meningiomas in 12 patients via neuroendoscopic supraorbital keyhole approach

作　　者：高永涛 陈小兵 Gao Yongtao;Chen Xiaobing(Department of Neurosurgery,Huaihe Hospital of He'nan University,Kaifeng 475000,China)

机构地区：[1]河南大学淮河医院神经外科,开封475000

出　　处：《中华神经医学杂志》2023年第2期170-173,共4页Chinese Journal of Neuromedicine

摘　　要：目的探讨神经内镜下眶上锁孔入路切除前颅底脑膜瘤的临床疗效。方法回顾性分析河南大学淮河医院神经外科自2020年5月至2022年5月予神经内镜下眶上锁孔入路手术的12例前颅底脑膜瘤患者的临床资料。结果术后头颅MRI增强扫描显示肿瘤切除程度为SimpsonⅠ级2例、SimpsonⅡ级10例,病理学检查均示脑膜瘤。随访3个月~2年,所有患者均无脑脊液漏及内镜相关并发症发生,其中术前视力视野改变的6例患者中4例明显改善、2例轻度改善,术前钝性头痛的2例患者完全恢复正常,术前嗅觉减退的2例患者中1例恢复正常、1例症状略有改善。结论神经内镜下眶上锁孔入路切除前颅底脑膜瘤可有效提高肿瘤的切除率,减少并发症发生,提高治愈率。Objective To analyze the clinical efficacy of resection of anterior skull base meningiomas via neuroendoscopic supraorbital keyhole approach.Methods Twelve patients with anterior skull base meningiomas resected via neuroendoscopic supraorbital keyhole approach in Department of Neurosurgery,Huaihe Hospital of He'nan University from May 2020 to May 2022 were chosen.A retrospective analysis was performed on the clinical data of these patients.Results Postoperative brain enhanced MRI showed resection degree of Simpson gradingⅠin 2 patients and Simpson gradingⅡin 10 patients.Pathological examination indicated meningiomas in all patients.All patients were followed up for 3 months-2 years,and no cerebrospinal fluid leakage or endoscopy-related complications occurred.Among the 6 patients with preoperative vision and visual field changes,4 patients got obviously improved and 2 patients got slightly improved.The 2 patients with blunt headache before surgery had completely normal symptoms.Of the 2 patients with preoperative hyposmia,one recovered to normal and the other one got slightly improved in symptoms.Conclusion Resection of anterior skull base meningiomas via neuroendoscopic supraorbital keyhole approach can effectively improve resection rate,reduce complication incidence,and improve cure rate.

关 键 词：前颅底脑膜瘤 神经内镜 眶上锁孔入路 

分 类 号：R739.45[医药卫生—肿瘤]