Objective To provide a basis for more accurate surgical planning by analyzing the clinical manifestations and imaging data of the patient's tumor morphology.Methods The data of 36 patients with sellar nodule meningioma treated through nasal and transcranial approaches in the single medical group,Department of Neurosurgery,West China Hospital Affiliated to Sichuan University from February 2019 to February 2021 were analyzed retrospectively.Combining the clinical characteristics of the patients and the international scoring system,this study explores the factors that need to be analyzed when selecting surgical approaches.Results Among all the patients,24 cases underwent neuroendoscopic transnasal approach and 12 underwent microscopic transcranial approach.The follow-up period was 24-48 months.Based on the latest scoring system for surgical approaches for tuberculum sellar meningioma and diagnostic and treatment experience,different surgical approaches were selected.No recurrence was observed during follow-up.Conclusions Preoperative imaging scoring of tuberculum sellae meningiomas are used for individualized selection of surgical approach.The endoscopic endonasal transsphenoidal and microscopic transcranial approaches complement each other,and a reasonable choice can completely resect the tumor,reduce complications,and improve the prognosis.
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