经颧弓翼点入路切除巨大内侧型蝶骨嵴脑膜瘤（医疗卫生论文资料）.docVIP

经颧弓翼点入路切除巨大内侧型蝶骨嵴脑膜瘤（医疗卫生论文资料） 文档信息 ： 文档作为关于“医学心理学”中“神经内外科”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文6306字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：经颧弓翼点入路切除巨大内侧型蝶骨嵴脑膜瘤 2 1 资料与方法 3 2 结果 4 3 讨论 4 文2：经皮肝穿瘤内无水乙醇注射治疗无法切除肝癌 5 1 临床资料 6 2 结果 7 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 经颧弓翼点入路切除巨大内侧型蝶骨嵴脑膜瘤（医疗卫生论文资料） 文1：经颧弓翼点入路切除巨大内侧型蝶骨嵴脑膜瘤 Microsurgery operation of trazygomatic pterional approach to remove giant sphenoid ridge meningiomas LIU Bo， ZHOU Qing-jiu， LIN Lin， et al (Departmnent of Neurosurgery， Fit Affiliated Hospital， Xinjiang Medical Univeity， Urumqi 830000， China) Abstract： Objective： To evaluate the outcome of microsurgery operation of trazygomatic pterional approach to remove the giant inner sphenoid ridge meningiomas. Methods： Ten patients with giant sphenoid ridge meningiomas received microsurgery operation of trazygomatic pterional approach from March， 2002 to October， 2007 in our hospital， their clinical data and following up were retrospectively analyzed. Wide exposure of the middle skull bases were performed and the tumour mass were removed under microscopy to avoid important structures of the intracranial artery injuried. Results： The giant sphenoid ridge meningiomas were removed totally in six patients under microscopy. And four patients were subtotal removed. Conclusio： Trazygomatic pterional approach can exposure middle skull bases sufficiently. The tumour can be exposured favourably， and the visual field is obvious， so that the important structures injury may be avoided. This approach is advantageous to the inner sphenoid ridg meningiomas particulary。 Key words： trazygomatic pterional approach; sphenoid ridge meningiomas; microsurgery 蝶骨嵴脑膜瘤(sphenoid ridge meningiomas，SRMs)临床较为常见，根据肿瘤与脑膜的粘着部分可分为3种：内侧型(内1/3)或床突型、中1/3或小翼型、外侧型(外1/3)或大翼型。内侧型约占SRMs的60%左右[1]，3种类型在临床表现、手术难度和预后上都有明显区别，其中内侧型SRMs手术难度和风险最大[2]。我院神经外科1995～2005年共收治65例SRMs患者， 38例(58%)为内侧型SRMs，其中有10例为巨大内侧型SRMs，直径均超过5 cm以上[3]，利用显微外科技术经颧弓