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1987~1995年收治嗅沟脑瘤19例。嗅觉丧失(9例)、性格改变(9例)为早期出现的重要症状。19例行CT检查,均示均匀高密度影。应用MRI检查6例,其中5例示肿瘤侵犯鞍结节、视神经和大脑前动脉。19例均行手术治疗,其中一侧额部入路16例,两侧额部入路3例,分别行全切除或次全切除,术后14例有精神障碍,1~2周后13例明显好转。14例随访2~3年,9例生活正常,5例生活自理。视力下降者大部分于术后逐渐恢复。
19 cases of olfactory groove brain tumor were admitted from 1987 to 1995. Loss of smell (n = 9), personality changes (n = 9) were important early symptoms. 19 routine CT examination, all showed a uniform high density. MRI examination of 6 cases, of which 5 cases of tumor invasion of saddle nodules, optic nerve and anterior cerebral artery. Twenty-nine patients underwent surgical treatment. One of them received frontal approach in 16 cases and frontal approach on both sides in 3 cases. Total or subtotal resection was performed. Fourteen patients had mental disorders after operation. Thirteen patients Obvious improvement. Fourteen patients were followed up for 2 to 3 years, 9 were normal and 5 were self-care. Most of the decreased visual acuity gradually recovered after surgery.