[1]段勇刚　谭占国　袁　波.鞍区脑膜瘤不同手术入路疗效的对比分析[J].中国临床神经外科杂志,2017,(04):239-241.[doi:10.13798/j.issn.1009-153X.2017.04.011]
　DUAN Yong-gang,TAN Zhan-guo,YUAN Bo..Curative effects of neurosurgery on suprasellar and parasellar meningiomas: supraobital lateral approach versus pterional approach[J].,2017,(04):239-241.[doi:10.13798/j.issn.1009-153X.2017.04.011]
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鞍区脑膜瘤不同手术入路疗效的对比分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年04期
页码:
239-241
栏目:
论著
出版日期:
2017-04-25

文章信息/Info

Title:
Curative effects of neurosurgery on suprasellar and parasellar meningiomas: supraobital lateral approach versus pterional approach
文章编号:
1009-153X（2017）04-0239-03
作者:
段勇刚　谭占国　袁　波
462300 河南漯河，漯河医专第一附属医院神经外科
Author(s):
DUAN Yong-gang;  TAN Zhan-guo;  YUAN Bo.
Department of Neurosurgery, the First Affiliated Hospital, Luohe Medical College, Luohe 462300, China
关键词:
脑膜瘤; 鞍区; 临床特点; 显微手术; 眶上外侧入路; 翼点入路
Keywords:
Suprasellar meningiomas;  Parasellar meningiomas;  Clinical features;  Supraobital lateral approach;  Pterional approach
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.04.011
文献标志码:
A
摘要:
目的 探讨不同入路手术治疗鞍区脑膜瘤的效果。方法 2013年1月至2015年12月收治鞍区脑膜瘤120例，采用翼点入路手术治疗68例（翼点组），采用眶上外侧入路手术治疗52例（眶上外侧组）。结果 鞍上型脑膜瘤垂体受损、视力降低、视神经或视交叉受压、视野受损的发生率均明显高于鞍旁型脑膜瘤（P<0.05）。翼点组手术时间、切口长度、术后住院时间均明显高于眶上外侧组（P<0.05）。翼点组术后并发症总发生率（45.6%）与眶上外侧组（32.6%）无明显差异（P>0.05）。结论 鞍上型脑膜瘤对视野、视力、垂体的影响程度高于鞍旁型，易压迫视神经；眶上外侧入路与翼点入路比，能减少手术时间，减少手术创伤。
Abstract:
Objective To study the clinical features of suprasellar and parasellar meningiomas and the curative effects of surgery via supraobital lateral approach and surgery via pterional approach on them. Methods Of 120 patients with sellar region meningiomas, 52 (observed group) including 23 with suprasellar meningiomas and 29 with parasellar meningiomas underwent surgery via supraobital lateral approach and 68 (control group) including 30 with suprasellar meningiomas and 38 with parasellar meningiomas underwent surgery via pterional approach. The clinical features of suprasellar and parasellar meningiomas were analyzed. All the patients were followed up for 3 months after the surgery, and the curative effects were compared between both the groups. Results Compared with the parasellar meningiomas, the suprasellar meningiomas had more significant effects on visual filed, eyesight and pituitary body function. The surgery duration, surgical incision and postoperative hospital stays were significantly longer in the control group than those in the observed group (P<0.05). There was insignificant difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusions The effect of the suprasellar meningiomas on the functions of the optic nerve and pituitary body is more significant than that of the parasellar meningiomas. Compared with pterional approach, supraobital lateral approach can decrease surgery duration and operation- side injury, and facilitate the postoperative recovery in the patients with sellar region meningiomas.

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备注/Memo

备注/Memo:
基金项目：河南省医学科技攻关项目（142102310402）
更新日期/Last Update: 2017-04-25