论文部分内容阅读
目的探讨小脑膜瘤的治疗策略。方法回顾性分析2012年1月至2014年12月采用显微镜下经锁孔手术治疗的56例小脑膜瘤(直径1~3 cm)患者的临床资料并随访观察疗效。结果 56例患者中,男性15例、女性41例,年龄平均(52±10)岁。肿瘤位于大脑半球凸面35例,矢状窦旁4例,大脑镰旁1例,小脑半球凸面2例,前颅底3例,鞍区6例,中颅底2例,桥小脑角3例。所有肿瘤采用锁孔手术入路,肿瘤全切除,术后出现不良反应2例(3.57%)。42例获得随访,随访时间平均30个月,均未发现肿瘤复发,无永久性神经功能障碍。结论锁孔手术治疗颅内小脑膜瘤安全有效,支持对于小脑膜瘤应该早期手术治疗的观点。
Objective To investigate the treatment strategy of cerebellar melanoma. Methods The clinical data of 56 patients with small meningioma (1 ~ 3 cm in diameter) underwent microsurgical keyhole surgery from January 2012 to December 2014 were analyzed retrospectively. The curative effect was observed and followed up. Results Of the 56 patients, 15 were male and 41 were female, with an average age of (52 ± 10) years. The tumors were located in the convex hemisphere of the brain in 35 cases, sagittal sinus in 4 cases, cerebral falx next to 1 case, cerebellar hemispheric convex in 2 cases, anterior skull base in 3 cases, saddle in 6 cases, 2 in the skull base, 3 in the cerebellopontine angle. All tumors using keyhole approach, total tumor excision, postoperative adverse reactions in 2 cases (3.57%). Forty-two patients were followed up for an average of 30 months. No recurrence of tumor or permanent neurological dysfunction was found. Conclusion Keyhole surgery for the treatment of intracranial meningiomas is safe and effective, supporting the idea that early surgical treatment of meningioma should be performed.