经颞下入路行岩斜脑膜瘤无牵开器手术：减少脑牵拉损伤的尝试。
Retractorless Surgery for Petroclival Meningiomas via the Subtemporal Approach: A Try to Reduce Brain Retraction Injury.
机构信息
Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Science and Medicine, University of Science and Technology of China, Hefei, Anhui 230036, China.
Bengbu Medical College, Bengbu, Anhui 233000, China.
出版信息
Comput Math Methods Med. 2022 Jul 14;2022:6436542. doi: 10.1155/2022/6436542. eCollection 2022.
PURPOSE
To present our experience with retractorless surgery for resection of petroclival meningiomas (PCMs) via the subtemporal approach with routine operative instruments.
METHODS
Clinical data of patients with PCMs who received surgical treatments via subtemporal approach were retrospectively analyzed. Patient demographics, duration of operation, extent of resection, postoperative brain injury rate, postoperative complication, and surgical outcome were reviewed.
RESULTS
Twenty-nine consecutive patients with retractorless surgery via subtemporal approach performed between November 2018 and November 2021. The gross total resection rate was 82.8% ( = 24). The incidence of postoperative temporal lobe injury was 3.4% ( = 1). All the procedures were completed without fixed retraction or other specialized instruments.
CONCLUSIONS
Retractorless surgery via subtemporal approach is a reliable treatment option for PCMs, which can be completed with routine operative instruments.
目的
介绍我们通过颞下入路应用常规手术器械行无牵开器手术切除岩斜区脑膜瘤（PCM）的经验。
方法
回顾性分析 2018 年 11 月至 2021 年 11 月期间通过颞下入路接受手术治疗的 PCM 患者的临床资料。分析患者的人口统计学数据、手术时间、切除程度、术后脑损伤率、术后并发症和手术结果。
结果
29 例连续患者接受了颞下入路无牵开器手术，手术时间为 2018 年 11 月至 2021 年 11 月。大体全切除率为 82.8%（24 例）。术后颞叶损伤发生率为 3.4%（1 例）。所有手术均在无固定牵开器或其他专用器械的情况下完成。
结论
通过颞下入路行无牵开器手术是治疗 PCM 的一种可靠方法，可以使用常规手术器械完成。
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