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Surgical approaches and techniques of tuberculum sellae meningiomas
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 9
- DOI:
- 10.3760/j.issn:1001-2346.2007.09.003
- Key Word:
- 鞍结节;脑膜瘤;手术入路;手术技术
Abstract： 目的 探讨鞍结节脑膜瘤的手术入路和手术技巧,以改善手术治疗的效果.方法 回顾性分析1985年1月至2004年12月手术治疗的鞍结节脑膜瘤47例,根据CT和MRI的表现,将其分为大、中、小三型,采用4种不同的手术入路,比较全切除率、手术结果和并发症发生情况.结果 47例肿瘤中,获全切除44例,次全切除3例.肿瘤的全切除率与肿瘤大小和手术入路无关(P＞0.05).手术后恢复良好者43例;中度致残2例;重残1例;死亡1例,死亡率2.1%.手术结果与肿瘤大小和手术入路无关(P＞0.05).结论 大多数鞍结节脑膜瘤可以完全及安全地切除,小、中型肿瘤宜采用眶上匙孔入路,中、大型肿瘤宜采用单侧额下或翼点侧裂入路,大型肿瘤或侵犯肿瘤视神经管者宜采用眶颧入路切除肿瘤.不管采用何种入路,切除肿瘤的技术是相同的,也是全切除肿瘤的关键.
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