本文選題：巖斜區(qū)　切入點(diǎn)：巨大腦膜瘤　出處：《鄭州大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的探討巖斜區(qū)巨大腦膜瘤的手術(shù)方法及術(shù)后臨床療效分析,總結(jié)術(shù)后患者的神經(jīng)功能恢復(fù)率及切除率。本研究對(duì)于巖斜區(qū)腦膜瘤手術(shù)入路及治療后所引起的相關(guān)并發(fā)癥和患者術(shù)后生活質(zhì)量評(píng)定,來(lái)尋找一種更為有效、安全的手術(shù)方法。方法回顧性分析于2012年1月至2016年12月在鄭州大學(xué)第一附屬醫(yī)院神經(jīng)外科56例巖斜區(qū)巨大腦膜瘤患者的臨床資料,其中男性18人,女性38人,平均年齡49.8歲。本研究腫瘤最大直徑大于4.5cm。腫瘤的發(fā)病部位的起始為巖斜區(qū),本研究中全部患者均行手術(shù)切除腫瘤。根據(jù)患者的基本發(fā)病情況,本研究病例手術(shù)方法分以下幾種:經(jīng)顳下-巖骨前行手術(shù)的有14例,經(jīng)枕下-乙狀竇后手術(shù)方法的有26例,擴(kuò)大翼點(diǎn)行手術(shù)的有6例,經(jīng)巖骨-乙狀竇前幕上下聯(lián)合行手術(shù)的有10例。術(shù)后觀察所有患者神經(jīng)功能修復(fù)的程度,隨訪時(shí)間3-30月。結(jié)果Petroclival MeningiomaS(PCMS)切除程度分級(jí):Simpson I級(jí),24例,Simpson II級(jí)12例,Simpson III級(jí)8例,Simpson IV級(jí),12例。術(shù)后并發(fā)癥引起的面癱:3例;三叉神經(jīng)痛:2例;飲水嗆咳:3例;吞咽困難:4例;聽(tīng)力下降:4例;聲音嘶啞:1例。結(jié)論根據(jù)腫瘤大小、質(zhì)地、根基的部位等情況選擇不同的手術(shù)入路,在切除腫瘤的同時(shí)應(yīng)保護(hù)好周?chē)匾纳窠?jīng)與血管,而不是腫瘤的全切率,盡量避免術(shù)后患者并發(fā)癥的發(fā)生。其中枕下-乙狀竇后入路術(shù)后對(duì)患者的并發(fā)癥較小、生活質(zhì)量評(píng)定好。
[Abstract]:Objective to investigate the surgical method and clinical effect of giant meningioma in petroclival region. To summarize the recovery rate and excision rate of postoperative neurologic function in patients with petroclival meningioma, this study was aimed to find a more effective method for evaluating the postoperative complications and quality of life of patients with petroclival meningioma. Methods from January 2012 to December 2016, the clinical data of 56 patients with giant meningioma in petroclival region of Zhengzhou University from January 2012 to December 2016 were retrospectively analyzed, including 18 males and 38 females. The mean age was 49.8 years. In this study, the maximum diameter of tumor was greater than 4.5 cm. The site of the tumor originated from the petroclival region. All the patients in this study underwent surgical resection of the tumor. The operative methods of this study were as follows: 14 cases underwent subtemporal and petrosal surgery, 26 cases underwent suboccipital and sigmoid sinus surgery, and 6 cases underwent enlarged pterygoid operation. There were 10 patients who underwent combined operation through the petrous bone and anterior tentorial sigmoid sinus. After operation, the degree of nerve function repair was observed in all patients. Results the resectable degree of Petroclival Meningioma sphincter was divided into 24 cases of Petroclival Simpson I grade and 12 cases of III grade 鈪，

本文編號(hào)：1601357