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目的探讨显微外科手术治疗鞍结节脑膜瘤并进行临床分析。方法回顾性分析自2005年10月至2008年9月经显微外科手术治疗的35例鞍结节脑膜瘤临床资料。结果翼点入路21例,单侧额下入路10例,双侧额下入路4例。肿瘤全切27例,次全切6例,部分切除2例。未能全切的肿瘤术后行伽玛刀治疗。手术无死亡、无偏瘫、硬膜外血肿、脑内血肿、颅内积气、脑脊液鼻漏等并发症发生。术后视力改善19例,无变化10例,视力减退6例。术后4例出现不同程度的尿崩症。结论在鞍结节脑膜瘤治疗中,选择合适的手术方式,运用良好的显微外科技术和精细的术中操作,可以取得良好的手术效果。
Objective To investigate the microsurgical treatment of saddle nodular meningioma and clinical analysis. Methods The clinical data of 35 patients with saddle nodular meningioma treated by microsurgery from October 2005 to September 2008 were analyzed retrospectively. Results There were 21 cases of pterional approach, 10 cases of unilateral inferior frontal approach and 4 cases of bilateral inferior frontal approach. Tumor resection in 27 cases, subtotal 6 cases, partial resection in 2 cases. Failure to fully resect the tumor after gamma knife treatment. Surgery without death, no hemiplegia, epidural hematoma, intracerebral hematoma, intracranial gas, cerebrospinal fluid rhinorrhea and other complications. Postoperative visual acuity improved in 19 cases, no change in 10 cases, 6 cases of vision loss. Postoperative 4 patients showed varying degrees of diabetes insipidus. Conclusion In the treatment of saddle nodular meningioma, we can choose a suitable surgical method and use good microsurgical techniques and fine intraoperative procedures to obtain good surgical results.