颅底脑膜瘤的显微手术.docVIP

颅底脑膜瘤的显微手术 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：颅底脑膜瘤的显微手术 1 1 资料与方法 2 2 结果 3 3 讨论 3 文2：颅底脑膜瘤的显微手术 7 1 资料与方法 8 2 结果 9 3 讨论 9 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 14 正文 颅底脑膜瘤的显微手术 文1：颅底脑膜瘤的显微手术 ［Abstract］ Objective Throuhg reviews and analysis of microsurgery in cranial base meningioma to improve the effect of surgery and the quality of life in Various surgical approaches were chosen according to the position of microscope was routinely used during the tumor of vessels was taken in few patients before patients failed to total removal were assisted with gamma knife Of the 31 patients，total resection of tumor were achieved in 25 cases，most resection in 5，partial in 1，no death patient was with aggravated nerve functio，symptoms or patients with seizure were all cured after treating with antiepileptic therapy during and post rest of patients were in different degree of recovery，improvement or Cranial base meningioma is one kind of solid tumor with rich blood supply，and the skull base anatomy is complicated and vision field is limited and variable，thus it remai one of the technical difficulties and hotspots in neurosurgery our opinion，to those patients with abundant vessels tumo，embolization of vessels should be taken before the surgery，high speed drill will help to widen the vision field，bone window should be low enough to close the skull intracranial pressure should be decreased，tumor should be exposed technique can improve the safety and effect of surgery，reduce complicatio，which plays the key role in the success and safety of surgery. ［Key words］ cranial base meningioma;microsurgery 随着显微技术的逐渐深入及医疗器械设备的不断 发展 ，颅底肿瘤手术效果得以逐渐深入扩大和提高。笔者对1990～2005年收治并手术的31例颅底脑膜瘤回顾分析如下。 1 资料与方法 一般资料 本组患者31例，男12例，女19例；年龄31～83岁，平均51岁；病程15天～3年。 临床表现 头痛29例，头晕5例，颅内高压征5例，癫痫发作3例，嗅觉、视力、视野障碍5例，情感障碍2例， 听力 及共济运动障碍1例。肿瘤部位分布：前颅窝9例，中颅窝21例（其中蝶骨嵴外1/3处9例，中1/3处7例，内1/3处3例，颞底2例），后颅窝（岩骨后）1例。肿瘤大小分别为：3 cm以下5例，3～4 cm 19例，4～6 cm 5例，7～10 cm 2例。所有病例术前均经CT、MRI证实，术中、术后病理确诊。