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目的:探讨手术治疗鞍上区脑膜瘤的临床经验。方法:选择恰当的手术入路,采用直视下、显微镜下二种手术方法行鞍上区脑膜瘤切除术。结果:直视手术组27例,肿瘤全切除18例,全切除率66.67％;显微手术组19例,肿瘤全切除17例,全切除率89.47％。28例经3个月～10年术后随访,平均4.2年,肿瘤无复发。结论:采用显微外科手术,能正确辨认鞍上区肿瘤与周邻重要结构和血管的关系,提高了肿瘤全切除率。
Objective: To investigate the clinical experience of surgical treatment of meningioma in suprasellar region. Methods: Select the appropriate surgical approach, under direct vision, under the microscope, two surgical methods of suprasellar meningioma resection. Results: Twenty-seven cases underwent direct surgical resection. The total resection was performed in 18 cases. The total resection rate was 66.67%. In the microsurgical group, 19 cases were completely resected and the total resection rate was 89.47%. Twenty-eight patients were followed up for 3 months to 10 years with an average of 4.2 years without recurrence of tumor. Conclusion: Microsurgery can correctly identify the relationship between the tumor in the suprasellar region and the adjacent important structures and blood vessels, and improve the total resection rate.