摘要
目的总结研究矢状窦一大脑镰旁脑膜瘤运用显微外科手术切除的方法和疗效。方法回顾性分析本组39例矢状窦一大脑镰旁脑膜瘤病患的临床资料。本组39例均采用显微外科手术方法切除。结果术后依据Simpson标准评价肿瘤切除的程度，本组病患肿瘤达到I级切除的32例，达到Ⅱ级切除的7例，此7例患者确诊病理诊断后，后期予以加行伽玛刀治疗。本组无因手术死亡病例。本组术后共有33例病患获得确切随访，平均随访时间1～2年，无复发病例出现。结论显微外科技术可以有效的控制和减少手术中出血，保护重要血管避免损伤，如上矢状窦、中央沟静脉，避免脑皮层重要功能区的损伤，能够明显提高矢状窦镰一大脑镰旁脑膜瘤的全切除率、降低复发率、减少术后致残率及死亡率。
Objective To explore the method for microsurgical treatment of parasagittal and parafalcine meningiomas and its curative effect. Methods Clinical data of 39 cases of patients with parasagittal and parafalcine meningiomas who had un- dergone microsurgical resection were analyzed retrospectively. Results Of the 39 patients, 32 were Simpson grade I and 7 were grade 11. The 7 cases further underwent Gamma Knife surgery. No patients died from the operation. 33 patients were fol- lowed up from 1 year to 2 years, with no recurrence being found. Conclusion Skillful employment of microsurgical technique can effectively control intra-operative bleeding, increase the rate of total removal of the tumors, decrease postoperative recur- rence and other severe postoperative complications in patients with parasagittal and parafalx meningiomas.
出处
《淮海医药》
CAS
2014年第5期431-433,共3页
Journal of Huaihai Medicine
关键词
窦镰旁
脑膜瘤
显微外科手术
治疗效果
Parasagittsl and parafalcine
Meningiomas
Microsurgery
Treatment outcome
