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目的探讨蝶骨嵴脑膜瘤的手术分型及其治疗。方法30例蝶骨嵴脑膜瘤按照Cushing简化分类方法进行手术分型,根据肿瘤的大小、生长方向以及与颈内动脉及分支的关系选择合适的手术入路。结果外侧型SWM18例,均全切;内侧型SWM12例,全切5例,6例次全切除,1例行部分切除减压。结论Cushing简化分类方法将起源于前床突和蝶骨小翼的内侧部分的归于内侧型更为实用;临床根据各型肿瘤特征选取合适的手术入路,并注意神经和颈内动脉的保护,可获得良好的治疗效果。
Objective To investigate the surgical classification and treatment of sphenoid ridge meningioma. Methods Thirty patients with sphenoid ridge meningioma were classified according to the Cushing ’s simplified classification method. According to the size of the tumor, the growth direction, and the relationship with the internal carotid artery and its branches, the appropriate surgical approach was selected. Results All the 18 cases of SWM were resected, 12 cases of medial SWM, 5 cases of complete resection, 6 cases of subtotal resection and 1 case of partial resection and decompression. Conclusion Cushing simplified classification method will originate in the medial part of the anterior bed buccal and sphenoid wing is more practical; according to the characteristics of each type of tumor, select the appropriate surgical approach, and pay attention to the protection of nerve and internal carotid artery, Get a good therapeutic effect.