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目的 介绍应用显微手术切除大型及中型复发性蝶骨嵴脑膜瘤的经验及探讨复发的原因。 方法 回顾分析 2 4例大型及中型复发性蝶骨嵴脑膜瘤经额颞眶颧联合入路显微手术治疗的资料。 结果 手术全切除 (SimpsonⅡ级 ) 14例 ,次全切除 6例 ,大部分切除 4例 ,其中肿瘤周边脑内嵌有孤立瘤结节 5例。 结论 经额颞眶颧联合入路与应用显微手术有助于对大型及中型复发性蝶骨嵴脑膜瘤的全切除。手术切除不全、术中肿瘤种植是蝶骨嵴脑膜瘤复发的原因
Objective To introduce the microsurgical removal of large and medium recurrent sphenoid ridge meningioma experience and explore the reasons for recurrence. Methods A retrospective analysis of 24 cases of large and medium recurrent sphenoid ridge meningioma by frontotemporal orbital zygomatic approach microsurgery data. Results Total resection (Simpson Ⅱ grade) in 14 cases, subtotal resection in 6 cases, the majority of resection in 4 cases, of which tumors around the brain embedded solitary tumor nodules in 5 cases. Conclusion Combined frontotemporal orbital zygomatic approach and the application of microsurgery are helpful for the resection of large and medium recurrent sphenoid ridge meningeoma. Surgical resection insufficiency, intraoperative tumor planting sphenoid ridge meningioma recurrence reasons