INC国际神经外科医生集团旗下国际神经外科顾问团(WANG)成员、国际神经外科联合会(WFNS)教育委员会主席、国际颅底肿瘤手术教授德国Helmut Bertalanffy(巴特朗菲)教授关于枕骨大孔区脑膜瘤的论文交流:Microsurgical management of ventral and ventrolateral foramen magnum meningiomas
论文英文摘要
The authors report their experiences gained from 19 patients with ventral or ventrolateral foramen magnum meningiomas operated on via the dorsolateral, suboccipital transcondylar access route. It is emphasized that the microsurgical management of these lesions includes two important aspects which increase the safety of the procedure: a meticulous preoperative planning based on the microanatomical details of each patient, as well as an individualized tailoring of the surgical approach. There were no deaths, and, in the past 5 years, no neurological complications in this series. Gross total removal of the tumour was achieved in each case. It is concluded that microsurgical removal of ventral or ventrolateral foramen magnum meningiomas with this technique constitutes a safe and recommendable procedure.
中文摘要
在巴特朗菲教授一篇关于枕骨大孔腹外侧脑膜瘤手术切除的论文中很好地证实了显微外科手术切除腹侧及腹外侧大孔脑膜瘤是一种顺利、值得的手术方法。该论文报告了19例经背外侧枕下入路手术的大孔脑膜瘤患者的经验,每一个病例中都实现了肿瘤的完全切除,通过案例术后效果跟踪,巴特朗菲教授强调了这些病变的显微外科手术切除意义包括两个重要方面,一是基于每个患者的显微解剖细节能够有细致和个性化的术前手术方案定制,这使得手术的顺利性和准确度大大提高,二是在过去的5年里,这些病例都没有死亡,也没有神经并发症,这种效果不论是对于医生还是对于患者来说,无疑都是振奋人心的。
显微外科手术顺利全切,延长生存期
在处理脑膜瘤病变时,对偶发性脑膜瘤的自然史及其评估性生长因子的了解重要。大多数IDM随着时间的推移保持稳定,因此可以通过密切跟进保守管理。当病变出现症状或持续生长时,建议进行介入治疗。为了达到完全切除的目的,显微外科手术是优选治疗方法。GKRS是一种替代治疗选择,适用于医疗条件差的老年患者。当今神经外科手术技术飞速发展,以高科技显微镜、术中核磁、术中神经导航等多台高科技复杂仪器辅助下的显微外科手术以其微创、顺利性高、准确高效等优势在神经外科领域内备受青睐,而巴特朗菲教授正是这一领域较为擅长的国际颅底肿瘤手术教授。