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目的探讨鞍结节脑膜瘤的手术入路和手术技巧,以改善手术治疗效果。方法回顾性分析2000-01-2009-12经翼额入路手术治疗的鞍结节脑膜瘤21例。结果 21例肿瘤中,SimpsonⅠ级切除5例,SimpsonⅡ级切除15例,SimpsonⅢ级切除1例,无死亡病例,视力明显改善15例。结论显微镜下经翼额手术入路是治疗鞍结节脑膜瘤的一种有效的方法,手术操作空间大,便于保留重要结构,使患者生存质量提高,具有较好的临床价值。
Objective To explore the surgical approach and surgical techniques for sellar tuberosity meningioma in order to improve the surgical treatment. Methods Twenty-one cases of saddle tubercle meningiomas treated by trans-frontal approach were retrospectively analyzed from January 2000 to December 2009. Results Of the 21 tumors, 5 were treated with Simpson grade I resection, 15 with Simpson grade II resection, 1 with Simpson grade III resection, and no deaths. Visual acuity improved significantly in 15 cases. Conclusions Microsurgical treatment via apical forehead surgery is an effective method for the treatment of sellar nodular meningioma. The operation space is large, it is easy to retain important structures, improve the quality of life of patients, and has good clinical value.