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| 題 名 | Parasellar Meningioma=蝶鞍旁腦膜瘤 |
|---|---|
| 作 者 | 孫明傑; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 21:2 1988.03[民77.03] |
| 頁 次 | 頁154-164 |
| 分類號 | 416.291 |
| 關鍵詞 | 腦膜瘤; 蝶鞍旁; |
| 語 文 | 英文(English) |
| 中文摘要 | 在過去三十年中三軍總醫院神經外科共有1676位髗內瘤的病例,內合250例腦膜瘤,這其中有17例為蝶鞍旁腦膜瘤。它們蝶,前翼,且侵犯視神經或視交叉。 大多數的患者為女性,17例中卽估了12例,好發年齡在50歲至60歲之間。視力不良的平均期約為兩年。11個腫瘤被完全摘除,餘六例因為有血管的包埋,錄取亞全摘除。 17例中有1例手術後死亡,5倒有1例輕癱,兩例有暫時性尿崩症,另3例有暫時性動眼神經麻痺,6例在手術後視力增進。追踪檢查7個月至9年的結果顯示完全切除的11個病例均沒復發,5個不全切除病例則有3例復發。 |
| 英文摘要 | In the past 30 years we have encountered 1676 cases of intracranial tumors including 250 cases of meningioma. Among them there were 17 cases of parasellar meningioma. The locations of the tumors were: diaphragma sellae (4 cases), tuberculum sellae (6 cases) and medial sphenoid wing involoving the optic nerve or chiasm (7 cases). The majority of patients were females (12 of 17) with peak age incidence in the fifth and sixth decades. The average duration of visual impairment was two years. Eleven tumors were totally removed and six tumors were partially removed due to carotid artery encasement. There was ome post-operative death, five cases of hemiparesis, two cases of transient diabetes insipidus and three cases of transient oculomotor paresis. The overall posteroperative visual results improved for six patients in the follow-up period ranging from eight months to nine years, there was no single case of tumor recurrence in the 11 cases where the tumor was totally removed. In the five cases where the tumor was only partially removed, tumor recurrence was clinically noted in three. |
本系統中英文摘要資訊取自各篇刊載內容。