CAJ | 학술논문

目的探讨前、侧颅底沟通性脑膜瘤的手术治疗.方法回顾性分析17例经影像及病理证实为前、侧颅底颅内外沟通性脑膜瘤患者的临床资料,其中男7例,女10例,年龄23 ～ 71岁,手术均由神经外科及头颈外科医生联合实施.结果手术时间平均4.2h,出血量平均1 200 ml,手术全切除11例,次全切除6例,分别因累及海绵窦、视神经、面神经等重要结构.手术死亡1例,16例患者术后随访3 -73个月,平均29.9个月；复发死亡1例,复发带瘤生存1例.结论前、侧颅底颅内外沟通性脑膜瘤需多学科联合切除,个体化手术入路的选择、早期阻断肿瘤血供和可靠的颅底重建是关键.
목적 탐토전、측로저구통성뇌막류적수술치료.방법 회고성분석17례경영상급병리증실위전、측로저로내외구통성뇌막류환자적림상자료,기중남7례,녀10례,년령23 ～ 71세,수술균유신경외과급두경외과의생연합실시.결과 수술시간평균4.2h,출혈량평균1 200 ml,수술전절제11례,차전절제6례,분별인루급해면두、시신경、면신경등중요결구.수술사망1례,16례환자술후수방3 -73개월,평균29.9개월；복발사망1례,복발대류생존1례.결론 전、측로저로내외구통성뇌막류수다학과연합절제,개체화수술입로적선택、조기조단종류혈공화가고적로저중건시관건.
Objective To investigate the optimal surgical treatment for anterior or lateral skull base communicating meningiomas.Methods Seventeen cases of historically verified anterior or lateral skull base communicating meningiomas were reviewed retrospectively,7 males and 10 females,aged from 23 to 71 years old.All patients were operated on by a joint team consisted of neurosurgeons and head - and - neck surgeons.Results The mean operation time was 4.2 hours,mean blood loss 1 200 ml. Total tumor resection was achieved in 11 patients,while subtotal in 6 because the tumors invasion to carvenous sinus,optic nerve or facial nerve. One patient died postoperatively.The others were followed up from 3 to 73months( mean 29.9 months).One of them died of recurrence and one lived with tumor after recurrence.Conclusions The ideal treatment for anterior or lateral skull base communicating meningiomas is to achieve gross total tumor resection by a joint team consisted of neurosurgeons and head - and - neck surgeons.The individual approach,early cutting blood supply and reliable reconstruction are very important for ideal results.