经翼点入路显微手术切除蝶骨嵴脑膜瘤

J4 ›› 2013, Vol. 12 ›› Issue (9): 62-64.

经翼点入路显微手术切除蝶骨嵴脑膜瘤

普洱市人民医院，云南普洱 665100

收稿日期:2013-03-06 修回日期:2013-05-22 出版日期:2013-09-15 发布日期:2013-09-15
作者简介:吴文学，主治医师，主要从事颅底神经外科研究.

Pterion Approach for Sphenoid Ridge Meningioma Microsurgical Excision

People's Hospital of Pu'er, Pu'er, Yunnan 665100, China

Received:2013-03-06 Revised:2013-05-22 Online:2013-09-15 Published:2013-09-15

摘要/Abstract

摘要：

目的：探讨经翼点入路显微手术切除蝶骨嵴脑膜瘤的方法及周围神经血管保护问题，提高蝶骨嵴脑膜瘤治疗效果。方
法：采用显微神经外科技术，经常规翼点或扩大翼点入路，切除蝶骨嵴脑膜瘤。结果：按Simpson分级法评价肿瘤的切除程度：玉级切除5例，域级切除5例，郁级切除4例。术后患者均每6个月进行随访，影像学提示未见肿瘤复发。结论：准确全面的术前评估、正确的手术方法、积极的术后治疗是提高蝶骨嵴脑膜瘤全切率、改善神经症状、减少术后并发症的关键。

关键词: 显微手术, 翼点, 蝶骨嵴脑膜瘤

Abstract:

Objective: To investigate the microsurgery resection of sphenoid ridge meningiomas with pterion approach and study the protection of peripheral nerve and vascular. Methods: The conventional or expand pterion approach microsurgical excision was applied in the treatment of sphenoid ridge meningiomas, and the therapeutic effects were evaluated. Results: Tumor resection degree was evaluated by Simpson classification method. In 14 patients, 5 cases were I stage resection, 5 cases were II stage resection and 4 cases were IV stage resection. All patients were followed -up every 6 months, tumor recurrence was not found by imaging examination. Conclusion: Accurate and comprehensive preoperative evaluation, valid operation method and active postoperative therapy are the keys to improve the full excision rate, nerve symptoms restore as well as the postoperative complications in sphenoid ridge meningiomas treatment.

Key words: microsurgery, pterion approach, sphenoid ridge meningiomas

中图分类号:

R739.41

吴文学, 吴成丽, 李宝成. 经翼点入路显微手术切除蝶骨嵴脑膜瘤[J]. J4, 2013, 12(9): 62-64.

WU Wen-Xue, WU Cheng-Li, LI Bao-Cheng. Pterion Approach for Sphenoid Ridge Meningioma Microsurgical Excision[J]. J4, 2013, 12(9): 62-64.