神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤

发布时间：2018-05-03 03:28

  本文选题：内窥镜检查 + 眶上锁孔入路　； 参考：《重庆医学》2017年06期

【摘要】：目的探讨神经内镜下经眶上锁孔入路切除大、中型鞍结节脑膜瘤(TSM)的疗效。方法总结与分析所收治的7例14只眼以视力障碍为主要表现的TSM患者,肿瘤直径2.8~4.7cm,经眉弓切口,形成3.5cm×2.0cm眶上骨窗,在神经内镜下切除肿瘤。结果 7例肿瘤均全切(simpsonⅠ级2例,simpsonⅡ级5例)。术后视力恢复情况:9只眼视力好转,3只眼视力维持,2只眼视力恶化。随访6~13个月未见肿瘤复发。结论神经内镜下经眶上锁孔入路易于处理肿瘤周围的神经血管结构,便于保护视神经与周围血管,是切除大、中型TSM的有效方法。
[Abstract]:Objective to evaluate the efficacy of endoscopic transorbital keyhole approach in the treatment of large and medium Sella tuberculum meningiomas (TSMs). Methods A total of 7 cases (14 eyes) of TSM with visual impairment were reviewed and analyzed. The diameter of the tumor was 2. 8 ~ 4. 7 cm. The supraorbital window of 3.5cm 脳 2.0cm was formed through the incision of the eyebrow arch, and the tumor was resected by endoscope. Results all 7 cases of tumors were totally removed from Simpson grade 鈪，

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