显微手术切除蝶骨嵴脑膜瘤38例分析
Microsurgery for sphenoid ridge meningioma:a report of 38 cases
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摘要: 目的:总结显微手术治疗蝶骨嵴脑膜瘤的经验。方法:对38例蝶骨嵴脑膜瘤的显微外科手术治疗进行回顾分析。结果:34例达SimpsonⅠ~Ⅱ级切除,4例达SimpsonⅢ~Ⅳ级切除。术后偏瘫2例,无死亡病例。结论:熟练掌握术区显微解剖,保护重要神经和血管,显微镜下切除肿瘤可提高肿瘤切除率,减少术后神经功能障碍。Abstract: Objective:To summarize the experience of the microsurgical treatment of sphenoid ridge meningioma.Methods:The clinical data of 38 patients with sphenoid ridge meningioma who underwent microsurgical treatment were analyzed retrospectively.Results:Of 38 cases of sphenoid ridge meningioma,34 were totally removed (Grade Ⅰ,Ⅱ of Simpson system),4 subtotally (Grade Ⅲ,Ⅳ of Simpson system),2 cases with hemiparalysis.No postoperative mortality was found.Conclusions:Proper preservation of vital vessel and nerves can improve the removal rate of sphenoid ridge meningioma and reduce postoperative nervous malfunction.