CAJ | 학술논문

目的探讨鞍结节脑膜瘤手术入路选择、手术技巧及临床效果.方法回顾性分析2000年2月至2006年10月手术治疗的45例鞍结节脑膜瘤的临床资料,14例经单侧额下入路,15例经翼点入路,9例经眶额翼点入路,7例扩大经额入路.结果肿瘤全切除42例,大部分切除3例;术后视力改善33例,无明显变化9例,3例恶化.结论根据肿瘤大小、部位、生长方式及毗邻关系选择正确的手术入路并结合熟练的显微外科手术操作是全切除肿瘤及获得良好临床疗效的关键.
목적 탐토안결절뇌막류수술입로선택、수술기교급림상효과.방법 회고성분석2000년2월지2006년10월수술치료적45례안결절뇌막류적림상자료,14례경단측액하입로,15례경익점입로,9례경광액익점입로,7례확대경액입로.결과 종류전절제42례,대부분절제3례;술후시력개선33례,무명현변화9례,3례악화.결론 근거종류대소、부위、생장방식급비린관계선택정학적수술입로병결합숙련적현미외과수술조작시전절제종류급획득량호림상료효적관건.
Objective To study the surgical approaches, operative techniques and curative effects of tuberculum sellae meningiomas. Method Retrospective analysis was made on 45 cases of tuberculum sellae meningiomas operated with a variety of surgical approaches. In 14 patients,the tumors were removed through unilateral subfrontal approach, 15 through pterional approach,9 through fronto - orbital craniotomy and 7 through extended frontal approach. Results Of the 45 cases, tumor was totally removed in 42 cases, subtotally removed in 3. Postoperatively, the eyesight was improved in 33 cases, unchanged in 9 cases, and worse in 3 cases. Conclusions The surgical approach for tuberculum sellae meningioma should be chosen according to the size, location, growth pattern and adjacent relation of tumor. The microsurgical skill is the key for total removal of tumor and good curative effect.