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目的:探讨显微手术治疗蝶骨嵴内侧型脑膜瘤的方法及疗效。方法:回顾性分析15例内侧型蝶骨嵴脑膜瘤患者的临床资料、手术治疗方法、疗效及预后情况。结果15例患者中,11例患者进行了肿瘤全切除,4例患者进行了次全切除。手术结束后,有6例患者产生不完全神经继发损伤,5例产生了脑水肿和脑血管痉挛症状,并伴有肢体运动方面的障碍。后经治疗,症状均全部消失。结论:个体化的术前评估,显微手术治疗蝶骨嵴内侧型脑膜瘤,能够最大限度地保护神经、血管及重要脑组织,提高肿瘤全切除率及手术疗效。
Objective: To investigate the method and effect of microsurgical treatment of medial sphenoid ridge meningioma. Methods: A retrospective analysis of 15 cases of medial sphenoid ridge meningioma clinical data, surgical treatment, efficacy and prognosis. Results Of the 15 patients, 11 had total tumor resection and 4 had subtotal resection. After surgery, 6 patients had incomplete secondary nerve injury, 5 had cerebral edema and cerebral vasospasm symptoms, and were accompanied by physical movement disorders. After treatment, all the symptoms disappeared. CONCLUSIONS: Individualized preoperative evaluation of microsurgical treatment of medial sphenoid ridge meningioma, to maximize the protection of nerves, blood vessels and important brain tissue, to improve the total tumor removal rate and surgical efficacy.