發(fā)布時(shí)間：2018-06-13 13:30

  本文選題：鞍區(qū)腦膜瘤 + 臨床特征��； 參考：《重慶醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討鞍區(qū)腦膜瘤的臨床特征及手術(shù)治療策略。 方法：回顧性分析我院經(jīng)手術(shù)治療鞍區(qū)腦膜瘤49例臨床資料,比較鞍上型與鞍旁型腦膜瘤的臨床特征，對(duì)比單側(cè)額下入路與翼點(diǎn)入路的差異，總結(jié)鞍區(qū)腦膜瘤手術(shù)治療策略。 結(jié)果：鞍上型21例，鞍旁型28例，鞍上型腦膜瘤對(duì)視力、視野的影響及對(duì)垂體、視神經(jīng)壓迫較鞍旁型更常見（P 0.05）。49例鞍區(qū)腦膜瘤，按simpson分級(jí)標(biāo)準(zhǔn)全切33例，次全切14例，部分切除2例，全切率為67.3%。單側(cè)額下入路與翼點(diǎn)入路相比，術(shù)中出血量、手術(shù)時(shí)間及術(shù)后住院時(shí)間均無差異（P0.05）。 結(jié)論：鞍上型與鞍旁型腦膜瘤的臨床特點(diǎn)具有差異，前者對(duì)視力、視野的影響及對(duì)垂體、視神經(jīng)壓迫更常見。在保留患者神經(jīng)功能及生活質(zhì)量的基礎(chǔ)上，，最大程度切除腫瘤是主要目的，單側(cè)額下入路及翼點(diǎn)入路均能使鞍區(qū)腫瘤獲得良好暴露，對(duì)比術(shù)中出血量、手術(shù)時(shí)間及住院時(shí)間無明顯差異。
[Abstract]:Objective: to investigate the clinical features and surgical treatment of Sellar meningioma. Methods: the clinical data of 49 patients with Sellar meningioma were analyzed retrospectively. The clinical characteristics of suprasellar meningioma and parasellar meningioma were compared, the differences between unilateral subfrontal approach and pterional approach were compared, and the surgical treatment strategies of Sellar meningioma were summarized. Results: there were 21 cases of suprasellar type, 28 cases of parasellar type, the effect of suprasellar meningioma on visual acuity, visual field and pituitary gland. The optic nerve compression was more common than parasellar type in 49 cases of Sellar meningioma. According to simpson classification standard, 33 cases had total resection and 14 cases had subtotal resection. Partial resection was performed in 2 cases, total resection rate was 67.3%. There was no significant difference in blood loss, operation time and postoperative hospitalization time between unilateral subfrontal approach and pterional approach. Conclusion: the clinical features of suprasellar meningioma and parasellar meningioma are different. The influence of the former on visual acuity, visual field, pituitary gland and optic nerve compression is more common. On the basis of preserving the nerve function and quality of life of the patients, the main objective was to remove the tumor to the maximum extent. Both unilateral subfrontal approach and pterional approach could expose the Sellar region tumor well and compare the amount of intraoperative bleeding. There was no significant difference in operation time and hospital stay.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R739.45;R730.56

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 田新華;陳鍔;張俊卿;黃延林;孫瑾;李泉清;鄧志鴻;張峰林;劉禹冰;;經(jīng)眉弓眶上鎖孔入路手術(shù)治療前循環(huán)動(dòng)脈瘤[J];中華神經(jīng)醫(yī)學(xué)雜志;2006年10期

2 楊剛;霍鋼;鄭履平;;內(nèi)側(cè)型蝶骨嵴腦膜瘤顯微手術(shù)治療[J];第三軍醫(yī)大學(xué)學(xué)報(bào);2008年10期

3 袁賢瑞，方加勝，羅端午，候永宏，劉運(yùn)生，曹美鴻;鞍區(qū)腦膜瘤的臨床特征[J];湖南醫(yī)科大學(xué)學(xué)報(bào);1996年01期

4 苑玉清,游潮,劉翼;眶上鎖孔入路切除中、小型鞍結(jié)節(jié)腦膜瘤[J];華西醫(yī)學(xué);2005年04期

5 張懋植,王磊,張偉,齊巍,王嶸,韓小弟,趙繼宗;The supraorbital keyhole approach with eyebrow incisions for treating lesions in the anterior fossa and sellar region[J];Chinese Medical Journal;2004年03期

6 袁賢瑞，曹美鴻，劉運(yùn)生，陳善誠(chéng)，侯永宏，李東升，姜維喜，霍雷;經(jīng)眶顴額顳下入路顯微切除中顱窩底腫瘤[J];中華神經(jīng)外科雜志;1995年01期

7 鄭佳坤,林小聰,謝家斌,汪朝陽(yáng),蔡瑋,楊立業(yè),陳漢明,林錫漢;鞍區(qū)腦膜瘤的顯微外科治療[J];中華顯微外科雜志;2002年03期

8 王荊夫;莊順福;易海波;蔡維平;張小鋒;林瑞生;李榕;;眶上鎖孔入路微創(chuàng)手術(shù)治療鞍結(jié)節(jié)腦膜瘤[J];中國(guó)微侵襲神經(jīng)外科雜志;2013年12期

本文編號(hào)：2014179