CAJ | 학술논문

目的总结经前纵裂入路切除鞍结节脑膜瘤的手术效果.方法回顾性分析前纵裂入路切除鞍结节脑膜瘤18例患者临床资料.结果根据Simpson分级,手术切除1级5例,2级10例,3级3例.15例术后随访6个月至7年,平均3.1年,恢复正常生活和工作6例,术后症状较术前改善6例,视力较术前无明显变化者3例,中度致残2例,死亡1例.结论前纵裂入路对向前向上方生长的大型鞍结节脑膜瘤暴露充分,减少了对额叶的牵拉,手术效果满意.
목적 총결경전종렬입로절제안결절뇌막류적수술효과.방법 회고성분석전종렬입로절제안결절뇌막류18례환자림상자료.결과 근거Simpson분급,수술절제1급5례,2급10례,3급3례.15례술후수방6개월지7년,평균3.1년,회복정상생활화공작6례,술후증상교술전개선6례,시력교술전무명현변화자3례,중도치잔2례,사망1례.결론 전종렬입로대향전향상방생장적대형안결절뇌막류폭로충분,감소료대액협적견랍,수술효과만의.
Objective To summarize the surgery effect of removal of tuberculum sellae meningiomas by anterior interhemispheric approach.Methods The data of 18 cases of removal of tuberculum sellae meningiomas by anterior interhemispheric approach were analyzed retrospectively.Results Simpson grade Ⅰ resection was achieved in 5 cases;grade Ⅱ in 10 cases and grade Ⅲ in 3 cases.15 patients were followed up for 6 months to 7 years,3.1 years on average.6 patients recovered normal ability in work and life,6 patients' symptom was improved after sugery,3 patients' postoperative visual acuity remained unchanged,2 patients got the result of medium disability and 1 patient died.Conclusion Large tuberculum sellae meningiomas that grows anteriorly and superiorly can be well exposed through anterior interhemispheric approach,the amount of page pull is reduced,so the satisfactory sugical effect can be achieved.