CAJ | 학술논문

目的探讨前纵裂入路切除鞍结节脑膜瘤的手术技术以及安全性、有效性,特别关注术后视力的变化.方法回顾性分析新疆医科大学第一附属医院神经外科2005年1月至2010年12月连续收治的21例前纵裂入路切除鞍结节脑膜瘤患者的临床资料.术后MRI评价肿瘤是否全切,眼科评价术后视力变化.结果随访3 -58个月,肿瘤全切19例(SimpsonⅡ级),l例复发；2例大部切除.21例患者中,视力好转15例,无变化5例,1例恶化.2例患者出现额叶静脉性梗死.结论尽管病例数较少,随访时间也较短,本研究结果基本可以说明前纵裂入路切除鞍结节脑膜瘤是安全有效的.
목적 탐토전종렬입로절제안결절뇌막류적수술기술이급안전성、유효성,특별관주술후시력적변화.방법 회고성분석신강의과대학제일부속의원신경외과2005년1월지2010년12월련속수치적21례전종렬입로절제안결절뇌막류환자적림상자료.술후MRI평개종류시부전절,안과평개술후시력변화.결과 수방3 -58개월,종류전절19례(SimpsonⅡ급),l례복발；2례대부절제.21례환자중,시력호전15례,무변화5례,1례악화.2례환자출현액협정맥성경사.결론 진관병례수교소,수방시간야교단,본연구결과기본가이설명전종렬입로절제안결절뇌막류시안전유효적.
Objective To study the surgical treatment for patients with tuberculum sellae meningioma(TSM) through anterior interhemispheric approach,with special attention to visual outcomes.Methods The clinical data of twenty - one consecutive patients between January 2005 and December 2010were collected.All tumors were removed through anterior interhemispheric approach.The visual acuity and tumor removal were sequentially evaluated in the pre - and post - operative periods.Results Gross total resection (Simpson Ⅱ) was achieved in 19 patients.Among 21patients,15 patients had an improvement of the visual acuity after surgery.The visual acuity was unchanged in 5 patients,and one patients suffered from visual deterioration.The venous infarction of frontal lobe occurred in 2 patients.Conclusions High resection rate and favorable visual outcome support the suitability of this approach for resection of TSM.