耳前直切口经颞下入路切除海绵窦区脑膜瘤

耳前直切口经颞下入路切除海绵窦区脑膜瘤

毕智勇;张鹏飞;董程远;李普贤;张俊廷;贾旺

【期刊名称】《中华神经外科杂志》 【年(卷),期】2014(030)006

【摘要】目的 探讨耳前直切口经颞下入路显微手术治疗海绵窦区脑膜瘤的疗效.方法 总结耳前直切口经颞下入路外科手术切除的36例海绵窦区脑膜瘤患者的临床资料,并进行术后定期随访.结果 肿瘤24例全切除,8例近全切除,4例大部切除;随访期为6～30个月,肿瘤全切除的24例随访期间2例有复发,行伽马刀治疗;8例近全切除患者术后临床观察,6例肿瘤进展行伽马刀治疗;4例大部切除的患者术后均行伽马刀治疗,2例肿瘤无明显进展,2例肿瘤仍缓慢生长.结论 对于海绵窦区脑膜瘤,耳前直切口颞下入路是一种良好的选择,此入路海绵窦暴露充分,保留了颧弓,手术创伤小.%Objective To discuss the effects of the application of preauricular straight incision through subtemporal approach in the microsurgical treatment of cavernous sinus meningioma.Methods 36 cavernous sinus meningiomas were resected with preauricular straight incision through subtemporal approach.The clinical

data

and

follow-up

results

were

retrospectively

summarized.Results The total resection was achieved in 24 cases,subtotal in 8,and partial in 4.The follow-up duration was 6-30 months.Two of the total resection cases were given Gamma Knife (GK) radio-surgery because of recurrences.Six of the subtotal resection cases also were given GK treatment because of tumor progression.All the 4