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Results Of total 8 cases, 4 eases were located in the side of cerebral falx or sinus,2 eases in the convexity of the brain,1 ease in the sphenoidal erest,1 ease in the tentoriam of cerebellum the main findings were as followes: 4 eases were cystic tumores with obvious enhancement in the substant parts; 2 eases were shown as eystoma with the wall knot enhanced obviously; cystic tumores were found in 2 eases with the wreath form enhance; peritumoral edemaarea in 2 ease, hyperostosis were seen in 3 eases.

结果 本组8例囊性脑膜瘤均为良性,肿瘤位于镰旁/窦旁4例,大脑凸面2例,蝶骨嵴1例,小脑幕1例。其主要CT表现有:囊实性肿块,实质部分强化明显,4例;有壁结节的囊性病变,增强时壁结节强化明显,2例;环形强化的囊性肿块2例;瘤周伴水样低密度区2例,邻近骨质增生硬化3例。

objective to summarize the experience and understanding of sphenoid wing meningioma diagnosis,subtype and surgical treatment.

目的 总结蝶骨翼脑膜瘤的诊断、分型及手术治疗的经验和体会。

Results:(1)The Anterior clinoid process is a posterior and medial continuation.

结果:①前床突是蝶骨小翼向后内的锥状突起,长度为10.29±0.78mm,宽度为9.03±0.71mm。

Anterior clinoid process and the upper margin of the optic canal were ground by using a high-speed drill according to the location of the tumor.

取下骨瓣,磨除蝶骨嵴,剪开硬膜,分开外侧裂。依据肿瘤的位置用微钻磨除前床突和视神经管上壁。

Results: Epileptiform discharges were observed in EEGs by conventional electrodes at a rate of 38.1%.

在上述几种方法中,以蝶骨电极加剥夺睡眠癎样放电检出率最高,故对癫癎诊断的价值最大。

Objectives: To explore the value of sphenoidal electrodes with sleep deprivation EEG in diagnosing epilepsy.

目的:探讨蝶骨电极加剥夺睡眠脑电图对癫癎诊断的价值。

Aneurysm in this location can be confused with pituitary tumor, craniopharyngioma, meningioma, or sphenoidal tumor.

该区域的动脉瘤需要与垂体瘤,颅咽管瘤、脑膜瘤或蝶骨来源肿瘤相鉴别。

Objective: To summarize the microsugical treatments of sphenoidal ridge meningioma and its clinical effect, the relations of the images and surgery , tumor types and oprative approaches .To discuss deeply how to protect the important intracranial structures and how to increase the full-removal rate and lower the death rate and complications.

目的:探讨蝶骨嵴脑膜瘤的显微外科手术方法及临床效果,并对影像学与手术、肿瘤分型和手术入路、肿瘤切除方式的关系、如何保护重要颅内结构,提高手术切除率,降低术后并发症及死亡率进行了深入讨论。

Methods: 45 cases with sphenoidal ridge meningioma operated were retrospectively analyzed. Acording to the site,all the 45 cases were divided into 2 groups ,outer(32/45) and inner(13/45) sphenoidal ridge meningioma . All the cases were operated with microscope.

回顾分析一组45例蝶骨嵴脑膜瘤手术治疗的资料,所有病例根据其生长部位,分为内侧型和外侧型两种,其中外侧型32例,内侧型13例,均采用翼点入路或改良翼点入路,显微镜直视下行手术切除。

OBJECTIVE: The widespread use of the endoscope in transsphenoidal pituitary surgery has recently contributed to the extension of the approach beyond the tuberculum sellae and planum sphenoidale for the management of lesions located in the suprasellar area, either with an endoscope-assisted or purely endoscopic technique.

目的:近年来,经蝶垂体腺瘤手术中内窥镜的广泛应用有助于将该入路向鞍结节和蝶骨平台扩大,应用内窥镜辅助技术或单纯内窥镜技术,可用来治疗位于鞍上区的病变。

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