CAJ | 학술논문

目的探讨额底外侧入路切除鞍结节脑膜瘤的手术方法 .方法对采用经额底外侧入路手术的32例鞍结节脑膜瘤患者的临床资料进行回顾性分析,采用Simpson分级来评估肿瘤的切除程度.结果肿瘤Simpson I级切除25例,Ⅱ级切除5例,Ⅲ级切除2例.术后发热4例,脑脊液鼻漏1例,电解质紊乱及血糖升高5例,视力减退2例.无手术死亡.术后随访1-28个月,平均18个月,未见肿瘤复发.结论额底外侧入路切除鞍结节脑膜瘤皮肤切口小,颞肌损伤轻,额窦完整性好,术后嗅神经保留率高,视力改善明显,值得进一步推广.
목적 탐토액저외측입로절제안결절뇌막류적수술방법 .방법 대채용경액저외측입로수술적32례안결절뇌막류환자적림상자료진행회고성분석,채용Simpson분급래평고종류적절제정도.결과 종류Simpson I급절제25례,Ⅱ급절제5례,Ⅲ급절제2례.술후발열4례,뇌척액비루1례,전해질문란급혈당승고5례,시력감퇴2례.무수술사망.술후수방1-28개월,평균18개월,미견종류복발.결론 액저외측입로절제안결절뇌막류피부절구소,섭기손상경,액두완정성호,술후후신경보류솔고,시력개선명현,치득진일보추엄.
Objective To summary the methods in removing the tuberculum sellar menigiomas through frontolateral approach. Method 32 tuberculum sellar menigioma patients by frontolateral approach in the last 2.5 years in Beijing Tiantan Hospital were analyzed retrospectively . Simpson score were used to evaluate the tumor resection. Results Simpson score Ⅰ in 25 cases, Ⅱ in 5 cases, Ⅲ in 2 cases. Fever in 4 cases; Cerebrospinal fluid rhinorrhea in 1 case; electrolyte disturbances and hyperglucoses in 5 cases; visual deterioration in 2 cases. No dead patient was found. Follow up time was 1-28 months, mean 18 months. No recurrent tumor was observed. Conclusions The frontolateral approach has the advantage of shorter incision, less temporal muscle damage, integrity of frontal sinus, more olfactory nerve reservation, and better visual improvement