中国医科大学学报

中国医科大学学报
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中国医科大学学报 ›› 2017, Vol. 46 ›› Issue (5): 418-421.doi: 10.12007/j.issn.0258-4646.2017.05.009

• 论著 • 上一篇    下一篇

单侧额下入路在大型嗅沟脑膜瘤手术治疗中的应用

崔晓,景治涛,王运杰,包义君   

  1. 中国医科大学附属第一医院神经外科,沈阳 110001
  • 收稿日期:2017-03-08 出版日期:2017-05-30 发布日期:2017-05-18
  • 通讯作者: 包义君 E-mail:neurobao3@hotmail.com
  • 作者简介:崔晓(1986 -),男,医师,硕士 .
  • 基金资助:
    辽宁省自然科学基金(2015020460);教育部留学回国人员科研启动基金(教外司留[2013]1792);中国博士后科学基金(2016M590240)

Treatment of Olfactory Groove Meningioma through a Unilateral Subfrontal Approach

CUI Xiao,JING Zhitao,WANG Yunjie,BAO Yijun   

  1. Department of Neurosurgery,The First Hospital,China Medical University,Shenyang 110001,China
  • Received:2017-03-08 Online:2017-05-30 Published:2017-05-18

摘要: 目的 探讨单侧额下入路与双侧额下入路切除体积较大嗅沟脑膜瘤(最大直径≥3 cm)的手术效果是否存在差异,进而明确单侧额下入路在嗅沟脑膜瘤手术中是否具有优势。方法 回顾性分析我科收治的 69 例嗅沟脑膜瘤患者,分别经单侧额下 入路或双侧额下入路显微手术治疗,比较 2 种入路手术切除程度及术后并发症等。结果 所有肿瘤均全部切除(Simpson Ⅰ级 或Ⅱ级),而经单侧额下入路术后并发症的发生率较双侧额下入路低。结论 单侧额下入路治疗嗅沟脑膜瘤可以取得令人满 意的手术效果。

关键词: 嗅沟脑膜瘤, 单侧额下入路, 显微手术

Abstract: Objective To compare the operative results of removing large olfactory groove meningiomas(diameter≥ 3 cm)using either a unilateral or bilateral subfrontal approach,and to determine whether there is an advantage in the unilateral approach. Methods Sixty-nine cases of large olfactory groove meningioma,treated in our department,by either a unilateral or bilateral subfrontal approach microsurgery were retrospectively reviewed. Removal grading,post-operative complications,and other clinical indices were evaluated. Results Total resection(Simpson Ⅰ or Ⅱ)was achieved in all the cases. There were lesser complications with use of the unilateral subfrontal approach. Conclusion Patients with olfactory groove meningioma have a good prognosis when a unilateral subfrontal approach is used for surgery.

Key words: olfactory groove meningioma, unilateral subfrontal approach, microsurgery

中图分类号: 

  • R651.1
[1] 于明军,于诗嘉,李钢,关俊宏,刘云会. 儿童颅咽管瘤的显微手术治疗及并发症的处理[J]. 中国医科大学学报, 2015, 44(5): 472-475.
[2] 胡宜,刘云会. 质地硬韧垂体腺瘤的经蝶显微手术治疗[J]. 中国医科大学学报, 2013, 42(10): 928-930.
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