重庆医学2017，Vol.46Issue(6)：758-759,763,3.DOI:10.3969/j.issn.1671-8348.2017.06.012
神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤
Neuroendoscopic surgery of supraorbital keyhole approach for the removal of medium and large sized tuberculum sellae meningiomas
摘要
Abstract
Objective To explore the effect of neuroendoscopic surgery for the removal of medium and large sized tuberculum sellae meningiomas through supraorbital keyhole approach.Methods A retrospective research was performed on 7 case of patients with tuberculum sellae meningioma who underwent endoscopic surgery through supraorbital keyhole approach.The main performance of patients as tumor diameter were 2.8-4.7 cm and the skin incision located at superciliary aich which size of intra-frontal bone window was 3.5 cm× 2.0 cm.Results Total removal was achieved in 7 cases(simpson Ⅰ grade in 2 patients,sirnpson 1Ⅱ grade in 5 patients).Postoperative,the visual outcomes of eyes were showed improvement in 9 eyes,remained steady in 3 eyes,and deterioration in 2 eyes.All patients were followed up for 6-13 months and no recurrence was found.Conclusion Neuroendoscopic surgery through supraorbital keyhole approach is an effective method for the resection of medium and large sized tuberculum sellae meningiomas.关键词
内窥镜检查/眶上锁孔入路/脑膜肿瘤/蝶鞍Key words
endoscope/supraorbital keyhole approach/meningeal neoplasms/sella turcica分类
医药卫生引用本文复制引用
王俊伟,赵秀文,傅楚华,李学刚,汪攀,冯华,吴南..神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤[J].重庆医学,2017,46(6):758-759,763,3.基金项目
国家卫生和计划生育委员会卫生行业公益专项基金(201402008). （201402008）
