[1]韦红恩.神经内镜辅助眶上锁孔入路治疗巨大嗅沟脑膜瘤[J].中国微创外科杂志,2008,08(7):640-642.
　Wei Hongen..Neuroendoscopeassisted Microneurosurgery via Supraorbital Keyhole Approach for Giant Olfactory Groove Meningioma[J].Chinese Journal of Minimally Invasive Surgery,2008,08(7):640-642.
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神经内镜辅助眶上锁孔入路治疗巨大嗅沟脑膜瘤()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年7期
页码:
640-642
栏目:
出版日期:
2008-11-01

文章信息/Info

Title:
Neuroendoscopeassisted Microneurosurgery via Supraorbital Keyhole Approach for Giant Olfactory Groove Meningioma
作者:
韦红恩
广西医科大学第五附属医院广西柳州市人民医院神经外科，柳州545001
Author(s):
Wei Hongen.
Department of Neurosurgery, Liuzhou People’s Hospital, Guangxi Medical University, Liuzhou 545001, China
关键词:
嗅沟脑膜瘤; 神经内镜辅助; 眶上锁孔入路
Keywords:
Olfactory groove meningioma; Neuroendoscopeassisted; Supraorbital keyhole approach
分类号:
R739.45
文献标志码:
A
摘要:
目的探讨神经内镜辅助眶上锁孔入路治疗巨大嗅沟脑膜瘤的手术效果及手术技巧。方法采用内镜辅助、眶上锁孔入路（显微手术）治疗12例巨大（≥7 cm）嗅沟脑膜瘤。结果肿瘤全切除9例（Simpson Ⅰ级切除5例，Ⅱ级切除4例），次全切除（Simpson Ⅲ级切除）3例。无手术死亡。10例随访3个月~2年，平均14个月。9例恢复正常生活,1例生活能自理。MRI随访9例，肿瘤无复发。结论利用神经内镜辅助及显微外科技术，采用眶上锁孔入路、对肿瘤进行分块切除治疗巨大嗅沟脑膜瘤，手术创伤小，疗效满意。
Abstract:
ObjectiveTo explore the effect and technical skills of neruoendoscopeassisted microneurosurgery via the supraorbital keyhole apporach for giant olfactory groove meningiomas.MethodsA total of 12 patients with giant olfactory groove meningiomas (≥7 cm in diameter) received neruoendoscopeassisted microneurosurgery via the supraorbital keyhole approach. Data of the patients were analyzed retrospectively.ResultsAmong the cases, 9 achieved complete resection of the tumor, inlcuding 5 cases of SimpsonⅠ and 4 cases of Simpson Ⅱ. The other 3 (Simpson Ⅲ) patients underwent subtotal resection. None of the patients died during the operation. Ten of the patients were follwed up for 3 months to 2 years (mean, 14 months). During the followup, 9 of the 10 resumed physical and sporting activities, and the other one retured to normal daily life. MRI examination was prefomred on 9 patients, none of them had recurrence.ConclusionsNeruoendoscopeassisted microneurosurgery via the supraorbital keyhole approach is effective and safe for patient with giant olfactory groove meningioma. The tumor should be removed piece by piece during the operation.

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更新日期/Last Update: 2013-10-23