论文部分内容阅读
报告近１０年连续收治的颅基底脑膜瘤６２例，占同期脑膜瘤的５３．１％。其中源于蝶骨嵴２２例（３５．５％），全组病例均经ＣＴ扫描证实。１２例经ＭＲＩ检查，ＣＴ上测量肿瘤直径＞６ｃｍ者占８５．４％。６２例中５０例经手术切除，全切除３８例。Ｓｉｍｐｓｏｎ分级，１级者４例（８％）；２级者３０例（６０％）；３级者４例（８％）；４级者１２例（２４％）。４０例获随访：１、２级者恢复良好，仅１例于术后５年复发，４级中６例复发（原位复发）。
Reported nearly 10 consecutive years of treatment of 62 cases of basal meningioma, accounting for 53.1% of meninges during the same period. Among them, 22 cases (35.5%) originated from sphenoid ridge, all cases were confirmed by CT scan. 12 cases by MRI, CT measurement of tumor diameter> 6cm accounted for 85.4%. Of the 62 cases, 50 cases were surgically removed and 38 cases were completely resected. Simpson classification, grade 1 in 4 cases (8%); grade 2 in 30 cases (60%); grade 3 in 4 cases (8%); 4 grade in 12 cases (24%). Forty patients were followed up: Grade 1 and 2 recovered well. Only 1 patient recurred 5 years after operation and 6 patients recurred in stage 4 (in situ recurrence).