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目的 探讨眶颧弓入路开颅术在切除颅底脑膜瘤中应用价值。 方法 经眶颧弓入路切除巨大颅底脑膜瘤20例，观察手术效果。 结果 肿瘤全切除13例，次全切除4例，部分切除3例。无严重并发症，死亡1例。随访4个月～2年，17例恢复正常工作，2例在康复中，其中1例需人照顾。 结论 眶颧弓入路适用于切除颅眶沟通脑膜瘤、蝶骨嵴扁平型脑膜瘤、巨大蝶骨嵴内侧型脑膜瘤、海绵窦脑膜瘤及部分岩斜脑膜瘤。
Objective To investigate the value of orbital zygomatic approach craniotomy in the resection of skull base meningioma. Methods Twenty cases of giant skull base meningiomas were excised via the orbital zygomatic arch approach to observe the effect of the operation. Results Tumor resection in 13 cases, subtotal resection in 4 cases, partial resection in 3 cases. No serious complications, death in 1 case. Follow-up 4 months to 2 years, 17 cases returned to normal work, 2 cases in rehabilitation, of which 1 need to take care of. Conclusions The orbital zygomatic arch approach is suitable for the removal of cranio-orbital communicating meningioma, sphenoid ridge meningioma, giant sphenoid ridge medial meningioma, cavernous sinus meningioma and partial petroclival meningioma.