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《Chinese Journal of Medicinal Guide》 2015-07
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Study on Microsurgical Treatment for Tuberculum Sellae Meningioma

Tan Ke;Li Jin-ping;Song Ying-lun;Department of Neurosurgery, Bei Jing Chaoyang Hospital, Capital Medical University;  
Objective: To explore the microsurgical treatment of tuberculum sellae meningioma operation.Methods:A retrospective analysis of the clinical data of 20 patients with tuberculum sellae meningioma, 20 cases of patients, 8 males and 12 females; aged 34 to 65 years old, with an average age of 47.1 years; the course of disease was 2 months to 3 years; the tumor diameter less than 4cm in 11 cases, pterional approach in 7 cases, unilateral subfrontal approach in 4 cases; the maximum tumor diameter greater than 4cm in 9 cases, double measurement subfrontal approach in 2 cases, pterional approach in 7 cases with fracture of composite. Results: Total resection(Simpson grade I and II) in 16 cases, pterional and(80%) the longitudinal composite approach in 7 cases were total resection of tumor, 4 cases of Simpson grade resection(20%). The visual acuity of the 18 eyes of 29 patients with 20 eyes, postoperative visual acuity improved(69%), no change in 7 eyes(24.1%), increased in 2 eyes(6.9%), preoperative monocular visual acuity decline after operation showed no recovery. Pterional approach in 7 cases with fracture of composite in the visual acuity improved in 6 cases, no change in 1 cases. Conclusion: The blood supply of optic nerve protection of perforating vessels, pay attention to tumor invasion of optic canal, is the key to the function of the optic nerve protection.
【CateGory Index】: R739.45
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