显微手术治疗蝶骨嵴脑膜瘤16例分析.pdf

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065 陕西医学杂志 2005 年第 34 卷第 5 期
显微手术治疗蝶骨嵴脑膜瘤 16 例分析
陕西省汉中市人民医院神经外科(汉中 723000) 王哲勋刘勇建陈文新
摘要目的: 总结蝶骨嵴脑膜瘤的显微手术治疗体会。方法: 回顾分析 16 例蝶骨嵴脑
膜瘤的显微手术治疗情况。结果: 外侧型 6 例均全切除; 内侧型 10 例中全切除 7 例, 近全切
除 2 例, 大部切除 1 例, 无死亡。16 例随访 3 月至 5 年, 全切除的 13 例无复发。近全切除和
部分切除 2 例肿瘤增大, 1 例无变化。结论: 外侧型蝶骨嵴脑膜瘤手术全切率高。内侧型的治
疗仍是一个难题, 显微外科手术明显地提高了手术全切率, 但对侵犯颈内动脉及海绵窦的肿
瘤应在保全生命及保护好神经功能的前提下, 尽量多切除肿瘤, 残留肿瘤应给于放疗。
主题词脑膜瘤诊断脑膜瘤外科学显微外科手术
M icrosurg ical treatmen t of spheno idal
r idge m en ing ioma (a report of 16 cases)
D epartm en t of N eu ro su rgery, H anzhong Peop le, s Ho sp ital of
Shaanx i P rovince (H anzhong723000) W ang Zhexun L iu Yongjian Chen W enx in
ABSTRAACT O bjective: To summ arize the experience of m icro surgical treatm ent of spheno id
ridge m eningiom as ( SRM s) . M ethods: T he clinical data of 16 patients w ith SRM s w ere analyzed
retro spectiviely . R esults: 6 cases of external SRM s w ere to tally removed , of 10 cases of m edial SRM s, 7
cases w ere to tally removed , 2 subto tally and one partially. N o patient died . In 16 patients fo llow ed up fo r
3 month s to 5 years , the tumo rs did no t recur in 13 patients w ho had received to tal resection of the
tumo rs, the residual tumo rs enlarged in 2 patients and did no t change in 1 patient w ho had received
subto tal o r partial resection of the tumo rs. Conclusion: T he external SRM s have h igh