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目的:探讨显微外科手术在鞍结节脑膜瘤显微外科手术的临床应用。方法:选取我院神经外科2014年1月至2015年1月手术治疗的鞍结节脑膜瘤34例进行回顾性分析,比较患者手术切除有效率及治疗前后格拉斯哥昏迷(GCS)评分情况。结果:术后肿瘤切除达Ⅰ级16例,Ⅱ级14例,达Ⅲ级切除者4例,肿瘤全切除率为88.2%。治疗后患者的GCS评分明显高于治疗前GCS评分,差异有统计学意义(P<0.05)。结论:鞍结节脑膜瘤进行显微手术是主要的治疗方法,临床上应根据肿瘤的大小及生长方向等确定手术入路。
Objective: To investigate the clinical application of microsurgery in the microsurgical surgery of saddle nodular meningioma. Methods: Thirty-four patients with saddle nodular meningiomas underwent surgical treatment from January 2014 to January 2015 in our department of neurosurgery were retrospectively analyzed. The efficiency of surgical resection and Glasgow Coma Scale (GCS) before and after treatment were compared. Results: Tumor resection up to grade Ⅰ in 16 cases, Ⅱ grade in 14 cases, grade Ⅲ resection in 4 cases, the total tumor removal rate was 88.2%. After treatment, the GCS score of patients was significantly higher than that before treatment, the difference was statistically significant (P <0.05). Conclusion: The tuberculum sellae meningioma is the main treatment method for microsurgery. The clinical approach should be to determine the surgical approach according to the tumor size and growth direction.