蝶骨翼脑膜瘤81例临床回顾分析.doc

蝶骨翼脑膜瘤81例临床回顾分析        【摘要】 目的 总结蝶骨翼脑膜瘤的诊断、分型及手术治疗的经验和体会。方法 回顾性分析了经显微手术和病理证实的蝶骨翼脑膜瘤81例,其中内侧型43例,外侧型36例,扁平型2例。巨大型7例,大型63例,小型11例。采用改良翼点入路53例;额下翼点联合入路7例;经颧弓翼点入路15例;额颞眶颧入路6例。结果 SimpsonⅠ级切除45例,Ⅱ级切除17例,Ⅲa级切除9例,Ⅲb级6例,Ⅳa级3例。术后本组患者颅高压、视力下降及眼球突出等临床症状均有不同程度的改善和恢复。术后随访9个月~6年,复发5例,3例行二次手术。结论 充分全面的术前评估,正确选择手术入路,熟练掌握术区显微解剖及显微手术操作,可以提高肿瘤全切率,减少术后并发症,以降低术后致残率和复发率。【关键词】 蝶骨翼脑膜瘤;显微手术;回顾分析 Aclinicalanalysisof81casesofmeningioma 【Abstract】 Objective Tosummarizetheexperienceandunderstandingofsphenoidwingmeningiomadiagnosis, Total81casesofsphenoidridgemeningiomas,whichhadalreadybeenprovedbymicrosurgicaloperationandpost-operativepathologyincludinginsidetype43cases,outsidetype36cases,flattype2cases,wereretrospectivelyanalyzed.(Hugesize7cases,Largesize63cases,Smallsize11cases).binedsubfrontal-pterionalapproach7cases,perionalapproachwithzygomaticarchremoval15cases, SimpsongradeⅠremovewas45cases;gradeⅡ12cases;Ⅲa9cases;Ⅲb6cases;Ⅳ-cranialpressure,-upfrom9monthsto6years, Thoroughpreoperativeevaluation,adequateoperativeapproach,fullunderstandingofmicroanatomyaswellasmicrosurgicalskillcanimprovetherateoftotalresection,plicationsaswellaspostoperativemortalitiesandmorbid