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目的回顾超声刀配合显微镜下切除桥脑小脑角区脑膜瘤3 5例的手术治疗经验。方法 3 5例超声刀配合显微镜下经枕下乙状窦后入路、经颞枕幕上、下联合入路或枕下入路等切除肿瘤。结果 3 5例中全切除(Ⅰ级、Ⅱ级切除)28例,大部分切除7例。术后疗效满意。结论:超声刀配合显微镜下手术切除治疗桥脑小脑角脑膜瘤是提高手术效果、降低死亡率的关键。
Objective To review the experience of surgical treatment of 35 cases of pituitary meningiomas treated with ultrasonic knife combined with microscopy. Methods Twenty - five cases underwent ultrasonic sonotomy with the posterior suboccipitial sinus approach under the microscope. The tumors were excised by combined supratentorial or suboccipital approach through the temporal infratentorium. Results The total resection in 35 cases (Ⅰ grade, Ⅱ grade excision) 28 cases, most of the resection in 7 cases. Satisfactory results after surgery. Conclusion: Ultrasound knife combined with microsurgical resection of the treatment of cerebellopontine angle cerebrum meningioma is to improve the surgical results, the key to reducing mortality.