Yang Yu-ming, Wang Zuo-wei, Jiang Hong-zhi, Sha Cheng, Yuan Qing-guo, Xie Hong-wen, Wang Da-ming
Department of Neurosurgery, Beijing Hospital, Beijing 100730, China.
Zhonghua Yi Xue Za Zhi. 2010 Sep 7;90(33):2348-50.
To explore the approach and efficacy of microsurgery for tuberculum sellae meningiomas.
The clinical data of 56 patients with tuberculum sellae meningiomas treated at our department from 1991 - 2009 were analyzed retrospectively. There were 20 males and 36 females with an age range of 32 - 65 years old (mean: 46). All patients underwent microsurgery through pterional, unilateral subfrontal, orbitozygomatic or supraorbital keyhole approach.
Among these patients, there were total resection (n = 51) and subtotal resection (n = 5). Postoperatively, 53 patients recovered well, 2 had a mild disability, 1 suffered a severe disability and there was no mortality.
Most cases of tuberculum sellae meningiomas can be removed safely and totally. Several approaches may be employed to achieve the best outcomes. Microsurgery can markedly boost the total resection rate of tuberculum salle meningiomas and lower the postoperative complications and mortality.
探讨鞍结节脑膜瘤的显微手术方法及疗效。
回顾性分析1991年至2009年在我科治疗的56例鞍结节脑膜瘤患者的临床资料。其中男性20例，女性36例，年龄32 - 65岁（平均46岁）。所有患者均通过翼点、单侧额下、眶颧或眶上锁孔入路行显微手术。
这些患者中，全切除51例，次全切除5例。术后，53例患者恢复良好，2例轻度残疾，1例重度残疾，无死亡病例。
大多数鞍结节脑膜瘤病例能够安全、完全切除。可采用多种入路以达到最佳效果。显微手术可显著提高鞍结节脑膜瘤的全切除率，降低术后并发症及死亡率。
