CAJ | 학술논문

目的探讨前颅底脑膜瘤手术的最佳入路及其适用范围.方法回顾性分析自2000至2005年我们应用单侧或双侧额部入路、改良翼点入路所切除的31例前颅底脑膜瘤患者的临床资料,比较不同手术方式的全切除率及并发症的发生情况.结果改良翼点入路手术的16例脑膜瘤中15例达到全切除,而经单侧或双侧额部入路的15例中只有9例达到全切除,并且并发症发生率相对较高.结论改良翼点入路是切除前颅底脑膜瘤较理想的选择.
목적 탐토전로저뇌막류수술적최가입로급기괄용범위.방법 회고성분석자2000지2005년아문응용단측혹쌍측액부입로、개량익점입로소절제적31례전로저뇌막류환자적림상자료,비교불동수술방식적전절제솔급병발증적발생정황.결과 개량익점입로수술적16례뇌막류중15례체도전절제,이경단측혹쌍측액부입로적15례중지유9례체도전절제,병차병발증발생솔상대교고.결론개량익점입로시절제전로저뇌막류교이상적선택.
Objective To explore the rational approach for removing the meningomas located in the anterior cranial fossa. Methods Thirty-one cases with meningomas located in the anterior cranial fossa underwent the surgeries through combined pterional and subfrontal approach or unilateral or bilateral frontal approach from 2000 to 2005. Their total resection rates and complication incidences were compared retrospectively. Results Total resection was achieved in 15 of 16 cases using the combined pterional and subfrontal approach, and in 9 of 15 cases using the unilateral or bilateral frontal approach.Compared with the combined pterional and subfrontal approach, the incidence of complications was higher in the ones using the unilateral or bilateral frontal approach. Conclusion Combined pterional and subfrontal approach is a feasible and favorable approach for removing the meningioma located in the anterior cranial fossa.