中国实用神经疾病杂志2017，Vol.20Issue(16)：1-6,6.DOI:10.3969/j.issn.1673-5110.2017.16.001
颞下-乙状窦后联合锁孔入路显微手术治疗岩斜区巨大脑膜瘤临床观察
Microsurgical treatment of large and giant petroclival meningiomas via combined Subtemporal and retrosigmoid keyhole approach
摘要
Abstract
Objective To study the method and effect of microsurgical treatment of large and giant petroclival meningiomas via combined subtemporal and retrosigmoid keyhole approach.Methods The clinical data in a consecutive series of 24 patients with large and giant petroclival meningiomas who had received microsurgical treatment was analyzed retrospectively.These patients were treated via combined subtemporal and retrosigmoid keyhole approach.The technique of combined keyhole approach, the effect of clinical treatment and the quality of post-operative life were analyzed.Results The gross total resection (Simpson GradeⅠand Ⅱ)was achieved in 20 cases (83.3％).The subtotal resection (Simpson GradeⅢ)was achieved in 4 cases (16.7％). New-onset post-operative neurological dysfunction appeared in 7 cases (29.2％).The post-operative complications included brain stem hemorrhage in 1 case (4.2％),brain stem infarction in 1 case (4.2％),cerebrospinal fluid leakage in 1 case (4.2％),intracra-nial infection in 1 case (4.2％),and pulmonary infection in 2 cases (8.3％).There was no death during perioperative period.The post-operative follow-up period ranged from 3 to 59 months,and there was no tumor recurrence or progress.Conclusion The combined subtemporal and retrosigmoid keyhole approach is a safe and effective approach for microsurgical treatment of large and giant petroclival meningiomas.关键词
岩斜区脑膜瘤/显微外科手术/联合锁孔入路Key words
Petroclival meningiomas/Microsurgery/Combined keyhole approach分类
医药卫生引用本文复制引用
袁亮,曲瑞杰,李鹏起,苏鑫洪,闫志强,李文德,陈立华..颞下-乙状窦后联合锁孔入路显微手术治疗岩斜区巨大脑膜瘤临床观察[J].中国实用神经疾病杂志,2017,20(16):1-6,6.基金项目
国家自然科学基金(项目编号:81201000) （项目编号:81201000）
