经额外侧入路显微手术治疗大型嗅沟脑膜瘤

发布时间：2018-01-22 18:32

本文关键词： 大型嗅沟脑膜瘤额外侧入路双侧额下入路显微外科手术治疗效果　出处：《新疆医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：探讨经额外侧入路切除大型嗅沟脑膜瘤的手术方法及治疗效果,并与传统的双侧额下入路进行对比。方法：回顾性分析我院神经外科自2009年3月至2013年5月经双侧额下入路和2013年6月至今经额外侧入路显微外科手术切除的36例大型嗅沟脑膜瘤患者的临床资料,并进行疗效评价。结果：两种入路在肿瘤全切率、精神症状的改善及术后肿瘤复发率方面并无明显差异；双侧额下入路对于改善患者嗅觉异常优于额外侧入路；额外侧入路对于改善患者视觉异常优于双侧额下入路,在有效避免术中水肿脑组织膨出、充分显露肿瘤、减少脑组织损伤方面,额外侧入路优于传统的双侧额下入路。结论：经额外侧入路切除大型嗅沟脑膜瘤符合微侵袭手术理念,并发症发生率相对较低,手术效果良好,可以作为大型嗅沟脑膜瘤手术切除的一种选择术式。
[Abstract]:Objective: to investigate the surgical methods and therapeutic effect of extra lateral approach for the resection of large olfactory sulcus meningiomas. And compared with the traditional bilateral subfrontal approach. Methods:. A retrospective analysis of 36 cases of large olfactory sulcus meningioma treated by bilateral subfrontal approach from March 2009 to 2013 and microsurgery via additional approach from June 2013 to present in our hospital. Clinical data. Results: there was no significant difference between the two approaches in the total resection rate, the improvement of mental symptoms and the recurrence rate of tumor after operation. Bilateral subfrontal approach was superior to extra lateral approach in improving olfactory abnormality. The extra lateral approach is superior to bilateral subfrontal approach in improving the visual abnormality of patients. It can effectively avoid edema of brain tissue during operation, fully expose tumor, and reduce brain tissue injury. Conclusion: the excision of large olfactory sulcus meningiomas via extra lateral approach is in accordance with the concept of micro-invasive surgery, the incidence of complications is relatively low, and the surgical effect is good. Can be used as a large olfactory sulcus meningioma surgical resection of choice.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R739.45

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