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经CT及MRI和手术证实鞍结节脑膜瘤18例,肿瘤呈球型14例,扁平型4例,手术入路采用翼点入路10例,纵裂入路2例,单侧额下入路6例。结果:肿瘤全切12例,次全切4例,部分切除2例。病理检查:脑膜瘤内皮型9例,纤维型4例,砂粒型3例,血管型2例。随诊6例恢复正常工作。结论:早期诊断对肿瘤切除治疗及术后视力恢复提供有益的帮助,手术应在不损害视功能及重要组织结构情况下尽量全切肿瘤
18 cases of saddle nodular meningioma were confirmed by CT and MRI and surgery. The tumor was spherical in 14 cases and flat type in 4 cases. Ten cases were treated by pterional approach and 2 cases by longitudinal splitting. Road 6 cases. Results: The tumor was totally cut in 12 cases, subtotal cut in 4 cases and partial resection in 2 cases. Pathological examination: 9 cases of meningioma endothelium, 4 cases of fiber type, sand type in 3 cases, 2 cases of vascular type. Follow-up 6 cases returned to normal work. Conclusion: Early diagnosis of tumor resection and postoperative visual acuity to provide useful help, surgery should be without prejudice to the visual function and the importance of complete organization of the tumor