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目的探讨治疗内侧型蝶骨嵴脑膜瘤的显微神经外科技巧和临床效果。方法回顾性分析应用显微神经外科技术治疗21例内侧型蝶骨嵴脑膜瘤的资料。结果手术全切除(SimpsonI,II级)12例,次全切除6例,大部分切除3例,死亡1例。结论选择适当的手术入路,获得良好显露,充分利用显微技术辨别肿瘤与周围血管、神经的关系,注意保护穿通动脉,酌情处理肿瘤与重要结构的黏连,是手术成功的关键。
Objective To investigate the microsurgical skills and clinical effects of medial sphenoid ridge meningioma. Methods Retrospective analysis of 21 cases of medial sphenoid ridge meningioma treated with microsurgical neurosurgery. Results Total resection (Simpson I, grade II) in 12 cases, subtotal resection in 6 cases, the majority of resection in 3 cases, 1 died. Conclusions Choosing the appropriate surgical approach to get a good exposure, making full use of microscopic techniques to identify the relationship between the tumor and the surrounding blood vessels and nerves, and paying attention to the protection of the penetrating artery and the appropriate treatment of the tumor and the adhesion of important structures are the keys to successful operation.