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目的探讨枕大孔区腹侧脑膜瘤手术入路及术后管理。方法回顾性分析16例枕大孔区脑膜瘤患者的临床特征、手术入路及预后。结果采用远外侧入路术式行肿瘤全切除11例,次全切除5例。术后症状改善9例,相仿6例,加重1例。脑神经障碍是最常见的并发症。随访16例,平均随访4.3年,复发1例。9例正常生活(56.3%)。结论远外侧入路是枕大孔区腹侧脑膜瘤的合适手术路径。术后管理可影响预后。
Objective To investigate the surgical approach and management of ventral meningioma in the foramen magnum. Methods The clinical features, surgical approach and prognosis of 16 patients with meningioma in the foramen magnum were retrospectively analyzed. Results The method of far lateral approach for tumor resection in 11 cases, subtotal resection in 5 cases. Postoperative symptoms improved in 9 cases, similar to 6 cases, an increase of 1 case. Craniocerebral disorders are the most common complication. Follow-up 16 cases, with an average follow-up of 4.3 years, 1 case of recurrence. 9 cases of normal life (56.3%). Conclusion Far lateral approach is a suitable surgical approach for ventral meningioma in the foramen magnum. Postoperative management can affect the prognosis.