大型、巨大型岩斜区脑膜瘤的显微外科治疗.pdf

  本文关键词：岩斜区脑膜瘤的显微外科治疗，由笔耕文化传播整理发布。

网友wo1230近日为您收集整理了关于大型、巨大型岩斜区脑膜瘤的显微外科治疗的文档，希望对您的工作和学习有所帮助。以下是文档介绍：Microsurgery for large and giant petroclivalmeningiomaPostgraduate: Wang BingqianSupervisor: Prof.Dang MurenAbstractObjective:To investigate the extent of tumor resection,to summarize the experience ofmicrosurgical removal of the large and giant petroclival meningioma.Method:Weretrospectively reviewed the medical records of 26 patientstreated surgical iantpetroclival meningioma.Tumor maximum diameter=2.5cm.Lesions subject arelocated in the petroclival area.7cases were conducted with subtemporal transpetrosal,15with retrosigmoid approach,2with Supra-infratentorial approach(subtemporal andretrosigmoid bined approach),2wih orbitozygomaticapproach.Result:Of allpatients in this group, gross total resection(Simpson Grade I or II)was achieved in 12patients,subtotal resection(Grade III)was achieved in 4 patients,partial resection(SimpsonGrade) was achieved in 10 patients.Conclusion:To avoid blind pursuing gross totalresection of tumors,andto findthe balance betweenthe extent of tumor resectionandreducing plications.Different surgical approaches should be ording to different kinds of large and giantpetroclival meningioma,according tothesize,growth pattern and encroachment area,etc.Key wordsMeningioma;Petroclivus;MicrosurgeryDSAdigital subtract puted ic resonance imaging--Yassargil1987Aziz2/312%10%50%21Bricolo2.54.5Van Havenbergh0.81mm123Sekhar-Monaci-,20041~2010122611.1200412010122.5cm26(1)1.21.2.12691711.9196743.3681921.2.21453.85%1350.0%415.38%1038.46%934.62%415.38%1453.85%726.92%27.69%27.69%726.92%1.ic resonance puted tomographyCT232.57.3 cmSekhar12.5~4.4 cm164.5 cm10CTMRICTCTMRIT2digitalsubtract angiographyDSA1cm112.42.54.44.522671522MRISimpson2Simpson ISimpsonIISimpson IIISimpson2Simpson13126Simpson ISimpson II1246.15%Simpson III415.38%Simpson1038.46%333(11.54%)04(15.38%)71038.46%2(7.69%)3(11.54%)1502(7.69%)02002(7.69%)213(50%)4(15.38%)9(34.62%)2629324621111253~24731633216643

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  本文关键词：岩斜区脑膜瘤的显微外科治疗，，由笔耕文化传播整理发布。