CAJ | 학술논문

目的总结枕骨大孔区脑膜瘤的手术治疗经验.方法对2002年1月至2010年4月收治并手术切除的枕骨大孔区脑膜瘤进行回顾性分析.本组共14例,病灶最大径2.5 ～5.0 cm,均经病理证实和显微手术切除.结果 9例采用枕下中线入路,5例采用远外侧入路,全切除12例,次全切除2例；术后早期因呼吸衰竭死亡1例.结论选择合适的手术入路、采用娴熟的显微外科技术,枕骨大孔区脑膜瘤外科治疗效果良好.
목적 총결침골대공구뇌막류적수술치료경험.방법 대2002년1월지2010년4월수치병수술절제적침골대공구뇌막류진행회고성분석.본조공14례,병조최대경2.5 ～5.0 cm,균경병리증실화현미수술절제.결과 9례채용침하중선입로,5례채용원외측입로,전절제12례,차전절제2례；술후조기인호흡쇠갈사망1례.결론 선택합괄적수술입로、채용한숙적현미외과기술,침골대공구뇌막류외과치료효과량호.
Objective To analyze the microsurgical treatment for foramen magnum meningiomas (FMMs).Methods From 2002 to 2010,14 patients with FMMs underwent microsurgical treatment in our department.The diameters of FMMs were ranged from 2.5 cm to 5 cm.Results Suboccipital approach was used in 9 cases,and extreme lateral approach was carried out in 5 cases.Total removal of the tumor was achieved in 12 patients,and subtotal was in 2.1 patient died from respiratory failure 24 days after surgery.Conclusions FMMs could be resected successfully with suitable operative approaches and by experienced neurosurgeons.