颅内和椎管内肿瘤3-神经外科教学.pptVIP

脑膜瘤Meningioma*约占颅内肿瘤总数的20%*良性，病程长*好发部位*病理*女性多于男性*好发年龄：30-50岁(60%)*可来自颈内动脉和颈外动脉双重供血*肿瘤对放射及化学疗效果不显著与硬脑膜紧密粘连血供丰富钙化常见囊变不多瘤细胞排列成同心圆样漩涡体矢状窦旁，大脑突面，蝶骨嵴鞍区，嗅沟，后颅窝，脑室内

各种脑膜瘤与硬膜、大脑镰、上矢状窦的位置关系A大脑突面脑膜瘤B大脑镰脑膜瘤(常侵及到对侧)C矢状窦旁脑膜瘤(不少浸润到上矢状窦)ABC

ParasagittalSinusMeningioma

ParasagittalSinusMeningioma

ConvexityMeningioma

ConvexityMeningioma

FEIHQF38Meningioma

FEIHQF38Meningioma

LIULHF46Meningioma

LIULHF46Meningioma

TailSign

TailSign

垂体腺瘤PituitaryAdenoma*发生于垂体前叶*占颅内肿瘤的10%-12%。*良性*分类：PRL腺瘤GH腺瘤ACTH腺瘤无功能腺瘤

垂体腺瘤的临床症状内分泌症状：视力下降、视野缺损(双颞侧偏盲)*PRL腺瘤：闭经、泌乳、不育性欲减退、阳萎、体重增加*GH腺瘤：青春期前--巨人症成人--肢端肥大症*ACTH腺瘤：满月脸、水牛背、皮肤紫纹、肥胖、高血压、性功能减退视神经或视交叉压迫

垂体腺瘤的治疗*药物治疗：嗅隐停*首选手术治疗：经蝶窦入路垂体腺瘤切除术经额入路垂体腺瘤切除术

LIFXF50PEPituitaryAdenoma

LIFXF50PituitaryAdenoma

LIFXF50PituitaryAdenoma

WANGGXF61PituitaryAdenoma

WANGGXF61PituitaryAdenoma

WANGGXF61PituitaryAdenoma

YAOXQF56PituitaryAdenoma

YAOXQF56PituitaryAdenoma

PituitarymicroadenomaDynamicMRI