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目的:探讨神经内镜辅助切除岩斜区脑膜瘤的手术方法,以提高手术全切率与改善预后。方法:回顾性分析显微手术切除24例岩斜区脑膜瘤患者的临床资料,其中12例采用神经内镜辅助手术(神经内镜辅助组),12例仅采用显微镜切除手术(显微镜手术组),比较两组肿瘤的全切率。结果:显微镜手术组12例,肿瘤全切3例,次全切4例,大部切除5例;神经内镜辅助组12例,肿瘤全切8例,次全切3例,大部切除1例;神经内镜辅助组肿瘤的全切率高于显微镜手术组(P<0.05)。结论:神经内镜辅助显微镜切除岩斜区脑膜瘤,有利于提高肿瘤的全切率。
Objective: To explore the method of endoscopic neurosurgical resection of petroclival meningioma in order to improve the surgical rate and improve the prognosis. Methods: The clinical data of 24 patients with petroclival meningiomas underwent microsurgical resection were retrospectively analyzed. Among them, 12 patients underwent endoscopic neurosurgery assisted surgery (endoscopic neurosurgery group) and 12 patients underwent microsurgical resection (microsurgical group) , Comparing the total rate of tumor resection in both groups. Results: 12 cases underwent microsurgical operation, 3 cases underwent total resection, 4 cases underwent subtotal resection, 5 cases underwent partial resection, 12 cases underwent endoscopic neurosurgery, 8 cases underwent total resection, 3 cases underwent subtotal resection, The total resection rate of neuroendoscope-assisted group was higher than that of microsurgical group (P <0.05). Conclusion: Endoscopic neurosurgical resection of petroclival meningioma helps to improve the rate of tumor resection.