本文選題：內(nèi)窺鏡檢查 + 眶上鎖孔入路��； 參考：《重慶醫(yī)學(xué)》2017年06期

【摘要】：目的探討神經(jīng)內(nèi)鏡下經(jīng)眶上鎖孔入路切除大、中型鞍結(jié)節(jié)腦膜瘤(TSM)的療效。方法總結(jié)與分析所收治的7例14只眼以視力障礙為主要表現(xiàn)的TSM患者,腫瘤直徑2.8~4.7cm,經(jīng)眉弓切口,形成3.5cm×2.0cm眶上骨窗,在神經(jīng)內(nèi)鏡下切除腫瘤。結(jié)果 7例腫瘤均全切(simpsonⅠ級(jí)2例,simpsonⅡ級(jí)5例)。術(shù)后視力恢復(fù)情況:9只眼視力好轉(zhuǎn),3只眼視力維持,2只眼視力惡化。隨訪6~13個(gè)月未見(jiàn)腫瘤復(fù)發(fā)。結(jié)論神經(jīng)內(nèi)鏡下經(jīng)眶上鎖孔入路易于處理腫瘤周圍的神經(jīng)血管結(jié)構(gòu),便于保護(hù)視神經(jīng)與周圍血管,是切除大、中型TSM的有效方法。
[Abstract]:Objective to evaluate the efficacy of endoscopic transorbital keyhole approach in the treatment of large and medium Sella tuberculum meningiomas (TSMs). Methods A total of 7 cases (14 eyes) of TSM with visual impairment were reviewed and analyzed. The diameter of the tumor was 2. 8 ~ 4. 7 cm. The supraorbital window of 3.5cm 脳 2.0cm was formed through the incision of the eyebrow arch, and the tumor was resected by endoscope. Results all 7 cases of tumors were totally removed from Simpson grade 鈪，

本文編號(hào)：1836788