CAJ | 학술논문

目的：探讨经眶上锁孔入路显微手术切除鞍区脑膜瘤的方法及临床效果。方法回顾性分析2010‐01—2013‐01我院采用经眶上锁孔入路显微手术切除鞍区脑膜瘤11例患者的临床资料，探讨手术效果、手术技巧及并发症发生情况。结果肿瘤全切除10例（Simpson I级切除2例，Ⅱ级切除8例），次全切除l例（Simpson Ⅲ级切除）。所有患者术后视力及视野缺损改善，术后出现尿崩3例，经治疗1～2周好转；随访6个月～5a，术后2a左右肿瘤复发1例，余均恢复良好。结论应用经眶上锁孔入路显微手术治疗鞍区脑膜瘤有较好的临床效果，值得临床推广。
목적：탐토경광상쇄공입로현미수술절제안구뇌막류적방법급림상효과。방법회고성분석2010‐01—2013‐01아원채용경광상쇄공입로현미수술절제안구뇌막류11례환자적림상자료，탐토수술효과、수술기교급병발증발생정황。결과종류전절제10례（Simpson I급절제2례，Ⅱ급절제8례），차전절제l례（Simpson Ⅲ급절제）。소유환자술후시력급시야결손개선，술후출현뇨붕3례，경치료1～2주호전；수방6개월～5a，술후2a좌우종류복발1례，여균회복량호。결론응용경광상쇄공입로현미수술치료안구뇌막류유교호적림상효과，치득림상추엄。
Objective To investigate the curative effect of supraorbital keyhole approach for resection of sellar region men‐ingioma.Methods The data of 11 patients with sellar region meningioma resected by supraorbital keyhole approach in our hos‐pital from January 2010 to January 2013 were retrospectively analyzed ,and then the surgical effect ,skills and complications were evaluated.Results Ten cases of patients were treated by whole tumor resection including 2 cases of Simpson Ⅰ grade re‐section and 8 cases of Simpson Ⅱ grade resection.One case of patient was subtotally resected ,namely Simpson Ⅲ grade resec‐tion.The visual acuity and eyeshot were significantly improved in all of patients.Three cases of patients occurred diabetes insipi‐dus ,which was improved by 1 to 2 weeks treatment.Followed up for 6 months to 5 years ,one patient occurred tumor recur‐rence and the rest were recovered well.Conclusion Supraorbital keyhole approach for microsurgical technique has better cura‐tive effect on treating sellar region meningioma ,which is worthy of application.