[1]张所军　游　超　肖群根　王俊文　赵　恺　牛洪泉　舒　凯　雷　霆.经额底前纵裂入路显微手术切除巨大型嗅沟脑膜瘤[J].中国临床神经外科杂志,2021,26(08):581-583.[doi:10.13798/j.issn.1009-153X.2021.08.003]
　ZHANG Suo-jun,YOU Chao,XIAO Qun-gen,et al.Microsurgical resection of giant olfactory groove meningiomas through fronto-basal interhemispheric approach[J].,2021,26(08):581-583.[doi:10.13798/j.issn.1009-153X.2021.08.003]
点击复制

经额底前纵裂入路显微手术切除巨大型嗅沟脑膜瘤()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年08期
页码:
581-583
栏目:
论著
出版日期:
2021-08-25

文章信息/Info

Title:
Microsurgical resection of giant olfactory groove meningiomas through fronto-basal interhemispheric approach
文章编号:
1009-153X（2021）08-0581-03
作者:
张所军　游　超　肖群根　王俊文　赵　恺　牛洪泉　舒　凯　雷　霆
Author(s):
ZHANG Suo-jun;  YOU Chao;  XIAO Qun-gen;  WANG Jun-wen;  ZHAO Kai;  NIU Hong-quan;  SHU Kai;  LEI Ting.
Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
关键词:
巨大型嗅沟脑膜瘤; 经额底前纵裂入路; 显微手术; 疗效
Keywords:
Giant olfactory groove meningioma;  Microsurgery;  Fronto-basal interhemispheric approach;  Clinical efficacy
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2021.08.003
文献标志码:
A
摘要:
目的 探讨经额底前纵裂入路显微手术切除巨大型嗅沟脑膜瘤的手术方法及疗效。方法 回顾性分析2018年2月至2020年2月经额底前纵裂入路显微手术切除的10例巨大型嗅沟脑膜瘤的临床资料。结果 按Simpson手术切除标准分级：Simpson分级Ⅰ级切除1例，Ⅱ级8例，Ⅲ级1例。无手术死亡病例，术后无颅内感染及癫痫等并发症。术后病理检查确诊为良性脑膜瘤。术后随访8~30个月，未见肿瘤复发或病情加重病例。结论 经额底前纵裂入路切除巨大型嗅沟脑膜瘤，效果良好。
Abstract:
Objective To investigate the clinical efficacy of microsurgery through fronto-basal interhemispheric approach for the patients with giant olfactory groove meningiomas. Methods The clinical data of 10 patients with giant olfactory groove meningiomas who underwent microsurgery through fronto-basal interhemispheric approach from February 2018 to February 2020 were retrospectively analyzed. Results According to Simpson surgical resection standard classification: Simpson grade Ⅰ resection was achieved in 1 patient, grade Ⅱ in 8, and grade Ⅲ in 1. There were no operative deaths. There was no postoperative complications such as intracranial infection and epilepsy. Postoperative pathological examination showed benign meningioma in all the patients. The follow-up ranged from 8 months to 30 months. There were no tumor recurrence or aggravation. Conclusions Microsurgery through fronto-basal interhemispheric approach is a good method for treatment of the patients with giant olfactory groove meningioma.

参考文献/References:

[1] El Gindi S. Olfactory groove meningioma: surgical techni-ques and pitfalls [J]. Surg Neurol, 2000, 54(6): 415-417.
[2] Banu MA, Mehta A, Ottenhausen M, et al. Endoscope-assisted endonasal versus supraorbital keyhole resection of olfactory groove meningiomas: comparison and combination of 2 minimally invasive approaches [J]. J Neurosurg, 2016, 124(3): 605-620.
[3] De Monte F, Raza SM. Olfactory groove and planum menin-giomas [J]. Handb Clin Neurol, 2020, 170: 3-12.
[4] 于　峰，张荣伟，孙希炎，等. 经单侧纵裂入路显微外科治疗大型双侧嗅沟脑膜瘤（附13例报告）[J]. 中国临床神经外科杂志，2009，14（9）：513-515.
[5] Feng AY, Sandy W, Sabir S, et al. Resection of olfactory groove meningiomas through unilateral vs. bilateral approa-ches: a systematic review and meta-analysis[J]. Front Oncol, 2020, 10: 560706.
[6] 高树梓，安德柱，仪新锋，等. 经额底纵裂入路前交通动脉复合体的显微解剖研究[J]. 局解手术学杂志，2020，29（5）：354-357.
[7] 周德祥，周　东，詹升全，等. 额底纵裂入路切除鞍区中线巨大肿瘤[J]. 中国微侵袭神经外科杂志，2020，25（9）：406-408.
[8] 邹长林，许　州，刘　超，等. 单侧额下入路显微切除大型及巨大型嗅沟脑膜瘤[J]. 临床外科杂志，2016，24（12）：946-948.
[9] 谭源福，肖绍文，张超元，等. 单侧额下入路显微切除嗅沟脑膜瘤[J]. 外科，2016，5（1）：1-11.
[10] 闫宪磊，郑捷敏，黄河清，等. 眶上外侧入路显微手术切除嗅沟脑膜瘤22例临床报道[J]. 中华神经医学杂志，2016，15（12）：1283-1285.
[11] 付雄洁，曾翰海，芦晓阳，等. 眶上外侧入路显微切除嗅沟脑膜瘤（附20例报告）[J]. 中华神经外科杂志，2018，34（1）：55-58.
[12] 雷军荣，秦　军，罗　杰，等. 经眶上外侧入路手术切除大型嗅沟脑膜瘤（附6例报道）[J]. 中国临床神经外科杂志，2018，23（8）：549-551.
[13] Purohit A, Jha R, Khalafallah AM, et al. Endoscopic endo-nasal versus transcranial approach to resection of olfactory groove meningiomas: a systematic review [J]. Neurosurg Rev, 2020, 43(6): 1465-1471.
[14] 陈勃勃，张荣军，张宏兵，等. 额外侧入路手术切除嗅沟脑膜瘤体会[J]. 中国临床神经外科杂志，2020，25（9）：631-631.
[15] Libório Dos Santos AR, Calfat Maldaun MV, Gripp DA, et al. Minimally invasive interhemispheric approach for giant olfactory groove meningioma: technical note [J]. World Neurosurg, 2018, 120: 316-319.
[16] Abbass W, Ghoneim MA. Unilateral subfrontal approach for giant olfactory groove meningiomas [J]. Open J Modern Neurosurg, 2020, 10(1): 175-181.

相似文献/References:

[1]娄永利　郭永坤　张　辉　闵有会.经额底前纵裂入路显微手术治疗鞍区病变的解剖研究[J].中国临床神经外科杂志,2015,(06):344.[doi:10.13798/j.issn.1009-153X.2015.06.008]
　LOU Yong-li,GUO Yong-kun,ZHANG Hui,et al.Study of anatomy related to microsurgery through anterior interhemispheric approach for sellar lesions[J].,2015,(08):344.[doi:10.13798/j.issn.1009-153X.2015.06.008]

备注/Memo

备注/Memo:
作者单位：430030 武汉，华中科技大学同济医学院附属同济医院神经外科（张所军、游　超、肖群根、王俊文、赵　恺、牛洪泉、舒　凯、雷　霆）
通讯作者：舒　凯，E-mail：kshu@tjh.tjmu.edu.cn
更新日期/Last Update: 1900-01-01