CAJ | 학술논문

目的探讨岩斜区脑膜瘤的手术切除程度,总结显微外科手术经验.方法回顾性分析26例大型、巨大型岩斜区脑膜瘤患者的临床资料,采用显微外科手术切除肿瘤,其中颞下经小脑幕入路7例,枕下乙状窦后入路15例,幕上、下联合入路(颞下入路联合乙状窦后入路)2例,眶颧入路2例.结果肿瘤全切(Simpson Ⅰ、Ⅱ级)13例,次全切(SimpsonⅢ级)4例,大部切除(Simpson Ⅳ级)9例.结论追求肿瘤最大程度地切除并尽可能减少术后并发症的发生,根据肿瘤大小、生长方式、侵犯区域等因素个体化选择不同的手术入路.
목적 탐토암사구뇌막류적수술절제정도,총결현미외과수술경험.방법 회고성분석26례대형、거대형암사구뇌막류환자적림상자료,채용현미외과수술절제종류,기중섭하경소뇌막입로7례,침하을상두후입로15례,막상、하연합입로(섭하입로연합을상두후입로)2례,광권입로2례.결과 종류전절(Simpson Ⅰ、Ⅱ급)13례,차전절(SimpsonⅢ급)4례,대부절제(Simpson Ⅳ급)9례.결론 추구종류최대정도지절제병진가능감소술후병발증적발생,근거종류대소、생장방식、침범구역등인소개체화선택불동적수술입로.
Objective To summarize the experience of microsurgical removal of large and giant petroclival meningiomas.Methods The clinical data of 26 patients of large or giant petroclival meningiomas were collected.7 cases were conducted through subtemporal transpetrosal approach,15 retrosigmoid,2 supra -infratentorial (subtemporal and retrosigmoid sinus combined approach ) and 2 orbitozygomatic approach.Results Gross total resection (Simpson Grade Ⅰ or Ⅱ )was achieved in 13 patients,subtotal resection ( Simpson Grade Ⅲ) in 4,and partial resection ( Simpson Grade Ⅳ ) in 9.Conclusions To avoid blind pursuing total resection of tumors,and to seek to the balance between the extent of tumor resection and reducing postoperative complications,different surgical approaches should be chosen according to the types,size,growth patterns and encroachment areas of large and giant petroclival meningiomas.