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目的报道鞍结节脑膜瘤手术治疗的入路选择及显微手术的临床效果。方法回顾分析鞍结节脑膜瘤29例的临床资料,29例鞍结节脑膜瘤分别经额下、翼点或额下翼点联合入路,采用显微手术方法切除肿瘤。结果29例均采用显微手术治疗,全切除27例,大部分切除2例,无死亡。28例术后视力得到满意的恢复。结论选择正确的手术入路和采用显微手术治疗鞍结节脑膜瘤,可明显提高临床疗效。
Objective To report the surgical approach of sella nodular meningioma and the clinical effect of microsurgery. Methods The clinical data of 29 cases of saddle nodular meningioma were retrospectively analyzed. 29 cases of saddle nodular meningiomas were combined with the frontal or the lower wing points respectively. The tumors were excised microsurgically. Results All the 29 cases were treated by microsurgical operation. The total resection was performed in 27 cases, the majority of resection in 2 cases and no death. 28 cases of postoperative visual acuity satisfactory recovery. Conclusion The correct choice of surgical approach and the use of microsurgical treatment of saddle nodular meningioma, can significantly improve the clinical efficacy.