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目的总结颅底脑膜瘤的显微手术治疗经验.方法回顾分析显微镜直视下手术切除10例颅底脑膜瘤的临床资料,其中嗅沟脑膜瘤3例,蝶骨嵴脑膜瘤、中颅窝底脑膜瘤、桥小脑角脑膜瘤各2例,颞叶天摹脑膜瘤1例.结果肿瘤全切除7例,次全切除3例.无严重并发症或死亡病例.术后2个月全部病人症状改善.9例获随访、2a脑膜瘤复发1例.结论选择好手术入路和运用好显微外科技术可以提高颅底脑膜瘤的全切率,降低死亡率.
Objective To summarize the experience of microsurgical treatment of skull base meningioma.Methods Retrospective analysis of 10 cases of skull base meningioma under microscope surgery, including 3 cases of olfactory groove meningioma, sphenoid ridge meningioma, Meningioma, cerebellopontine meningiomas in 2 cases and temporal lobe meningioma in 1 case.Results Tumor resection in 7 cases, subtotal resection in 3 cases.No serious complications or death.All patients after 2 months of the symptoms Improved in 9 cases were followed up, 1 case of 2a meningioma recurrence.Conclusion Choosing a good surgical approach and using good microsurgical techniques can improve the full rate of skull base meningioma and reduce mortality.