CAJ | 학술논문

目的探讨显微手术治疗鞍结节脑膜瘤的方法和疗效.方法对1991年10月至2009年8月收治的56例鞍结节脑膜瘤进行回顾性分析.其中男20例,女36例,年龄32～65岁,平均46岁.采用经额下、翼点、眶颧、眶上锁孔入路切除肿瘤.结果 56例患者中Ⅰ级切除3例;Ⅱ级切除48例;ⅢA级切除3例;ⅣB级切除2例.Ⅰ级和Ⅱ级切除共51例,占91.1%,术后恢复良好者53例,优良率为94.6%;中度残废2例;重度残废1例.结论大部分鞍结节脑膜瘤可以通过显微外科手术安全、有效、彻底切除;依据肿瘤大小、生长方式,采用不同的手术入路;显微手术可以明显提高肿瘤全切除率,减少手术并发症,降低死亡率.
목적 탐토현미수술치료안결절뇌막류적방법화료효.방법 대1991년10월지2009년8월수치적56례안결절뇌막류진행회고성분석.기중남20례,녀36례,년령32～65세,평균46세.채용경액하、익점、광권、광상쇄공입로절제종류.결과 56례환자중Ⅰ급절제3례;Ⅱ급절제48례;ⅢA급절제3례;ⅣB급절제2례.Ⅰ급화Ⅱ급절제공51례,점91.1%,술후회복량호자53례,우량솔위94.6%;중도잔폐2례;중도잔폐1례.결론 대부분안결절뇌막류가이통과현미외과수술안전、유효、철저절제;의거종류대소、생장방식,채용불동적수술입로;현미수술가이명현제고종류전절제솔,감소수술병발증,강저사망솔.
Objective To explore the approach and efficacy of microsurgery for tuberculum sellae meningiomas. Methods The clinical data of 56 patients with tuberculum sellae meningiomas treated at our department from 1991-2009 were analyzed retrospectively. There were 20 males and 36 females with an age range of 32-65 years old (mean: 46). All patients underwent microsurgery through pterional, unilateral subfrontal, orbitozygomatic or supraorbital keyhole approach. Results Among these patients, there were total resection (n = 51 ) and subtotal resection (n = 5 ). Postoperatively, 53 patients recovered well, 2 had a mild disability, 1 suffered a severe disability and there was no mortality. Conclusion Most cases of tuberculum sellae meningiomas can be removed safely and totally. Several approaches may be employed to achieve the best outcomes. Microsurgery can markedly boost the total resection rate of tuberculum sallae meningiomas and lower the postoperative complications and mortality.