原名「台灣學術線上」
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1
題名:Olfactory Groove Meningiomas: Surgical Experience from 35 Cases    
35例嗅溝腦膜瘤之手術治療經驗
著者:Shu-Mei Chen(陳淑美) ;Kuo-Chen Wei(魏國珍) ;Shih-Tseng Lee(李石增) ;Tai-Ngar Lui(雷大雅) ;Yung-Hsing Hsu(許永信) ;Tzu-Kang Lin(林子淦) ;Chi-Cheng Chuang(莊啟政) ;Peng-Wei Hsu(徐鵬偉) ;Chieh-Tsai Wu(吳杰才) ;Tsung-Che Hsieh(謝宗哲) ;Sai-Cheung Lee(李世祥) ;Chen-Nen Chang(張承能)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:嗅溝 ; 腦膜瘤 ; 手術治療 ; olfactory groove ; meningioma ; surgical treatment
刊名:Journal of the Chinese Oncology Society
頁碼:38-45
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

背景:嗅溝腦膜瘤約佔所有顱內腦膜瘤之百分之十,我們在此報告本神經外科部門手術治療嗅溝腦膜瘤之臨床結果及復發率。 研究對象及方法:本文作者針對曾於1992年五月至2005年九月間,於林口長庚紀念醫院神經外科系手術治療過的嗅溝腦膜瘤個案進行調查。此一回溯研究方法為收集病歷資料再分析之,平均追蹤時間為63個月(12至178個月)。 研究結果:總共35個病患經歷了39個嗅溝腦膜瘤手術。腫瘤大小從2至7公分,平均4.8公分。其中21個(53.8%)手術,使用雙側額部開顱術合併額葉下接近法,6個(15.4%)使用雙側額部併眼眶開顱接近法,5個(12.8%)使用雙側額部開顱術合併大腦半球間接近法,6個(15.4%)使用單側額葉下接近法,1個(2.6%)使用pterional接近法。 在第一次手術的病例中,29個(82.9%)達到腫瘤完全切除,另外6個(17.1%)達到腫瘤次全切除。共有9例發生術後合併症,以4例腦脊髓液外漏最多。並無手術相關死亡病例,亦無造成新的神經缺損。31個(88.6%)病患無復發之發生。 探討:雖然嗅溝腦膜瘤手術屬於顱底手術,但只要是訓練良好之神經外科醫師加上先進的顯微手術技術,並選擇適當的手術接近法,就可得到極佳的手術治療結果。
Background: Olfactory groove meningiomas (OGMs) account for about 10% of all intracranial meningiomas. We report on the clinical outcomes and recurrence rate of OGMs after surgical treatment in our neurosurgery department. Methods: The authors searched the database at the Department of Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou for cases of OGM treated between May 1992 and September 2005. A retrospective study was conducted by analyzing the charts of the patients. The mean follow-up period was 63 mo (range, 12-178 mo). Results: Thirty-five patients underwent 39 OGM surgeries. Tumor diameter ranged from 2 to 7 cm (average, 4.8 cm). In 21 surgeries (53.8%), the tumor was removed by bifrontal craniotomy via a subfrontal approach; 6 surgeries (15.4%) involved bi-fronto-orbital craniotomy; 5 (12.8%) were accomplished by bifrontal craniotomy via an interhemispheric approach; 6 (15.4%) were performed via a unilateral subfrontal approach; and 1 (2.6%) was performed via a pterional approach. In the primary operations, total and subtotal removal were achieved in 29 (82.9%) and 6 patients (17.1%), respectively. Nine patients (25.7%) experienced surgery-related complications, the majority being 4 cases of cerebrospinal fluid leakage. There was no operative mortality and no new cases of permanent focal neurological deficit. No recurrences were reported in 31 patients (88.6%). Conclusions: Although OGMs are located at the base of the skull, a well-trained neurosurgeon can use modern microsurgical techniques with an appropriate surgical approach and obtain an excellent clinical result.


    

本卷期目次
Journal of the Chinese Oncology Society
Postoperative Intensity Modulated Radiation Therapy in Oral Cavity Cancer/ Shih-Hua LiuYu-Jen Chen
A Good Ending-Holistic Care for Patients with Head and Neck Cancers/ Hong-Wen ChenYu-Jen ChenYi-Shing LeuChung-Ji LiuYi-Fang ChangChun-Kai FangHui-Ching LiuYuen-Liang Lai
Treatment in Patients with Malignant Glial Neoplasms: A Retrospective Analysis of Clinical Parameters, Therapy, and Outcome/ Sheng-Yu ChengCheng-Kuei ChangCheng-Chia Tsai
Clinical Application of 18F-FDG PET and PET/CT in Patients with Head and Neck Cancers/ Bing-Fu ShihChin-Ho TsaoKu-Hung LinMing-Che Wu
Olfactory Groove Meningiomas: Surgical Experience from 35 Cases/ Shu-Mei ChenKuo-Chen WeiShih-Tseng LeeTai-Ngar LuiYung-Hsing HsuTzu-Kang LinChi-Cheng ChuangPeng-Wei HsuChieh-Tsai WuTsung-Che HsiehSai-Cheung LeeChen-Nen Chang
Unusual Presentation of Metastatic Retroperitoneal Lymphadenopathy in Nasopharyngeal Carcinoma/ Yi-Shing LeuChi-Yuan TzenYi-Fang ChangJon-Kway Huang
Ampullary Adenocarcinoma Presenting with Acute Pancreatitis and Anemia/ Hung-Da ChenWen-Hsiung ChangKuo-Shyang JengYu-Jen ChenHuan-Chao LinShou-Chuan ShiYu-Ren Chen
Goblet Cell Carcinoid of the Jejunum/ Shih-Yu HuangWen-Hsiung ChangChien-Liang LiuChi-Kuan ChenShou-Chuan ShihCheng-Hsin Chu
The Successful Closure of Jejunostomy in Sigmoid Colon Cancer with Advanced Intra-Abdominal Carcinomatosis Rescued by Cytoreductive Surgery and Systemic Chemotherapy/ Huan-Chau LinJohnson LinRuey-Kuen HsiehTsang-Pai LiuYi-Fang ChangKa-Ee Ling
以腫瘤出血為表現的中心性腦神經細胞瘤/ 黃亮瑋劉安正黃錚暉林慶揚高木榮張至文白玟娟蕭勝煌
 
   
 
   

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