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显微外科手术治疗鞍结节脑膜瘤

Microsurgical resection of tubercu-lum sellae meningiomas

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【作者】 张锡增王如毜刘峰王守森林忠应欧阳世杰

【Author】 Zhang Xizeng, Wang Rumi, Liu Zheng et al Department of Neurosurgery, Fuzhou General Hospital of PLA (Fuzhou, 350001)

【机构】 南京军区福州总医院神经外科福建宁德地区第二医院外科福建医科大学第二附属医院神经外科 福州350001福州350001宁德352100泉州362000

【摘要】 目的:探讨显微外科手术切除鞍结节脑膜瘤的临床实践.方法:选择恰当手术入路行11例显微外科手术.在显微镜下术野清楚,能正确辨认肿瘤与颈内动脉、大脑前动脉、视神经.下丘脑、垂体柄及视交叉等重要结构的关系.结果:肿瘤全切除10例,次全切除1例,无手术死亡.结论:应用显微外科手术切除鞍结节脑膜瘤,可提高肿瘤全切除率.

【Abstract】 To review the experience of microsur-gical management of tuberculum sellae menin-gioma. Method: 11 cases were operated by appropriate microsurgical approach. The operative field was clear with microsurgical technique. The relationship between the tumor and it’ s important adjacent structures such as internal cerebral artery, anterior cerebral artery, optic nerve, optic chiasm, hypothalamas and pituitary stalk could be seen clearly. Result: The tumors were resected completely in 10 cases, the other one was resected sub totally. There was no operative mortality. Conclusion- The total resection rate of tuberculum sellae meningioma could be improved by microsurgical technique.

  • 【文献出处】 微侵袭神经外科杂志 ,Chinese Journal of Minimally Invasive Neurosargery , 编辑部邮箱 ,1997年02期
  • 【分类号】R739.45
  • 【下载频次】28
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