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《Chinese Journal of Clinical Neurosurgery》 2014-11
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Imaging diagnosis and treatment of tuberculum sellae meningiomas by microsurgery through pterional keyhole approach

QIN Han;GONG Jie;ZHANG Ge;YAO Guo-jie;HUANG Cheng;GAN Zhi-qiang;LI Cheng-cai;Lü Jian;Department of Neurosurgery, Wuhan General Hospital,Guangzhou Command PLA;Department of Disinfection and Supply,Wuhan General Hospital,Guangzhou Command PLA;  
ObjectivesTo explore the image characteristics and differential diagnosis of tuberculum sellae meningiomas, thetechnique of microsurgery through pterional keyhole approach for the tumors and its therapeutic effect.MethodsThe clinical data of 98 patients with tuberculum sellae meningiomas, who underwent microsurgery through pterional keyhole approach from January, 2004 toJune, 2014, were analyzed retrospectively.ResultsMRI imaging features of tuberculum sellae meningiomas were varied. Of 98 patientswith tuberculum sellae meningiomas, 80(81.6%) received total resection of the tumors, 18(18.4%) subtotal. No patient died from thesurgery. The tumors recurred in 10 of 98 patients who were followed up from 2 months to 10 years.ConclusionsThe imagingcharacteristics of tuberculum sellae meningiomas are of important value to its correct diagnosis. The microsurgery through the pterionalkeyhole approach is similar to the microsurgery through traditional pterional approach in the resection extent of the tumors, and it hasmany merits such as less trauma, fewer complications, and faster recovery in the patients undergoing the operation.
【CateGory Index】: R739.45
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