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目的:探讨显微外科手术治疗鞍结节脑膜瘤的方法及效果。方法:回顾性分析2007-03/2008-06显微手术治疗的16例鞍结节脑膜瘤。结果:SimpsonⅠ级切除10例,Ⅱ级切除3例,Ⅲ级切除3例。术后视力和视野均有不同程度恢复9例,5例视力无改变,2例视力下降。3例术后出现不同程度的尿崩,经治疗后在7 d内好转。无死亡病例。结论:应用显微外科手术治疗鞍结节脑膜瘤,肿瘤全切除率高,术后并发症少,疗效满意。
Objective: To investigate the method and effect of microsurgical treatment of saddle nodular meningioma. Methods: A retrospective analysis of 16 cases of saddle nodular meningioma treated with microsurgery from March 2007 to June 2008 was performed. Results: Simpson Ⅰ level resection in 10 cases, Ⅱ level resection in 3 cases, Ⅲ level resection in 3 cases. Postoperative visual acuity and visual field were restored to varying degrees in 9 cases, 5 cases of visual acuity was unchanged, 2 cases of decreased visual acuity. Three cases of different degrees of postoperative diabetes insipidus, after treatment improved within 7 d. No deaths. Conclusion: Microsurgical treatment of saddle nodular meningioma has a high total resection rate, less postoperative complications and satisfactory curative effect.