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目的探讨鞍结节脑膜瘤的诊断、入路及特点。方法对12例鞍结节脑膜瘤患者的临床资料进行回顾性分析。4例采用单纯额下入路,8例采用前纵裂入路;10例肿瘤全切,2例次全切观察治疗效果。结果术后8例视力恢复良好,无严重并发症和死亡病例。结论额下入路和前纵裂入路能够处理绝大多数的鞍结节脑膜瘤,手术损伤小、视野良好、并发症少,值得临床推广。
Objective To investigate the diagnosis, approach and characteristics of saddle nodular meningioma. Methods The clinical data of 12 patients with saddle nodular meningioma were analyzed retrospectively. In 4 cases, simple inferior approach was used and in 8 cases, the anterior longitudinal splitting approach was used. 10 cases of complete resection of the tumor and 2 cases of complete resection were observed. Results 8 cases of postoperative recovery of visual acuity, no serious complications and deaths. Conclusions The inferior frontal approach and the anterior longitudinal splitting approach can handle the vast majority of saddle nodular meningioma, with less operation damage and better field of vision with less complications and worthy of clinical promotion.