[1]张华园　董　军　高　峰　王继超　郑　勇.蝶骨嵴内侧型脑膜瘤的显微外科治疗[J].中国临床神经外科杂志,2016,(01):20-22.[doi:10.13798/j.issn.1009-153X.2016.01.007]
　ZHANG Hua-yuan,DONG Jun,GAO Feng,et al.Microsurgery for treatment of medial sphenoid ridge meningiomas (report of 30 cases)[J].,2016,(01):20-22.[doi:10.13798/j.issn.1009-153X.2016.01.007]
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蝶骨嵴内侧型脑膜瘤的显微外科治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年01期
页码:
20-22
栏目:
论著
出版日期:
2016-01-25

文章信息/Info

Title:
Microsurgery for treatment of medial sphenoid ridge meningiomas (report of 30 cases)
文章编号:
1009-153X（2016）01-0020-03
作者:
张华园　董　军　高　峰　王继超　郑　勇
830001 乌鲁木齐，新疆维吾尔自治区人民医院神经外科
通讯作者：郑　勇，E-mail：xjzy3682@126.com
Author(s):
ZHANG Hua-yuan;  DONG Jun;  GAO Feng;  WANG Ji-chao;  ZHENG Yong.
Department of Neurosurgery, People’s Hospital of Xinjiang Uyger Autonomous Region, Urumqi 830001, China
关键词:
蝶骨嵴脑膜瘤; 显微手术; 疗效
Keywords:
Medical sphenoid ridge meningioma;  Microsurgery;  Curative effect
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.01.007
文献标志码:
A
摘要:
目的 探讨蝶骨嵴内侧型脑膜瘤的手术治疗方法及其疗效。方法 回顾性分析2005年1月至2015年4月手术治疗的30例蝶骨嵴内侧型脑膜瘤患者临床资料，肿瘤切除采用翼点入路或改良翼点入路。结果 肿瘤全切除21例，次全切除6例，大部分切除3例。23例术后随访2个月~10年，预后优良（可以正常活动，KPS评分80~100分）16例，一般（生活可以自理，KPS评分60~<80分）4例，差（生活不能自理，KPS评分≤60分）3例；复发2例。结论 术前制定个体化的手术方案、术中精细操作和妥善处理相关血管和神经，可提高手术疗效，减少并发症。
Abstract:
Objective To explore the strategy of microsurgery for the medial sphenoid ridge meningiomas. Method The clinical data of 30 patients with medial sphenoid ridge meningiomas, who underwent microsurgery through pterional or extended pterional approach from January, 2005 to April, 2015, were analyzed retrospectively. Results Of 30 patients with medical sphenoid ridge menigiomas, 21 received the total resection of the tumors, 6 subtotal and 4 greatly part. Conclusion The curative effects of microsurgery on the meningiomas may be enhanced and the postoperative complication may decreased by the individualized surgery plan made before the operation, meticulous operative manipulation and intraoperative protection of the related blood vessels and nerves, in the patients with medical sphenoid ridge meningiomas.

参考文献/References:

[1] 孙　云，张方成. 蝶骨嵴脑膜瘤的诊断与治疗[J]. 中国临 床神经外科杂志，2010，15（4）：247-249.
[2] Wilfred CM, Samuel CO, Chikandu AN, et al. Management of intracranial meningiomas in Enugu, Nigeria [J]. Surg Neurol Int, 2012, 3: 110-112.
[3] 朱青峰，王国芳，禹书宝.蝶骨嵴脑膜瘤栓塞后再显微手 术切除疗效分析[J]. 中国临床神经外科杂志，2012，17 （9）：553-554.
[4] Kaisorn LC, Christopher J, Amar P, et al. Predictors of visual outcome following surgical resection of medial sphenoid wing meningiomas [J]. J Neurol Surg B, 2012, 73: 321-326.
[5] Mirone G, Chibbaro S, Schiabello L, et al. Enplaque sphenoid wing meningiomas: recurrence factors and surgical strategy in a series of 71 patients [J]. Neurosurgery, 2009, 65(6): 100-108.
[6] Michael EI, Jason SC, Gurvinder K, et al. Association of morbidity with extent of resection and cavernous sinus invasion in sphenoid wing meningiomas [J]. J Neurol Surg B, 2012, 73: 76-83.
[7] 王茂德. 蝶骨嵴内侧巨大脑膜瘤的治疗策略[J].中华神经 外科杂志2008，24（11）：803-804.
[8] Yang J, Ma SC, Liu YH, et al. Large and giant medial sphe- noid wing meningiomas involving vascular structures: clini- cal features and management experience in 53 patients [J]. Chin Med J (Engl), 2013, 126(23): 470-476.

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更新日期/Last Update: 2016-01-30