矢状窦旁及大脑镰旁脑膜瘤显微外科治疗分析

doi:10.3969/j.issn.1671-7171.2019.07.014

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摘要 【目的】分析矢状窦旁及大脑镰旁脑膜瘤显微手术治疗效果与安全性,总结临床体会。【方法】回顾性分析本院2010年4月至2018年4月收治的95例矢状窦旁及大脑镰旁脑膜瘤患者的临床资料。主要内容包括患者基线资料、影像学检查、手术方法、切除效果、随访结局等,据此总结显微外科治疗的效果与安全性,并探讨临床经验体会。【结果】95例肿瘤全切(Ⅰ~Ⅲ级切除)率为92.63%。术后并发颅内出血2例,行开颅血肿清除术后恢复。Ⅰ级切除者未见复发,Ⅱ级切除复发6例(10.71%),Ⅲ级切除复发5例(83.33%),Ⅳ级切除复发6例(100.00%)。【结论】矢状窦旁及大脑镰旁脑膜瘤显微外科手术的肿瘤全切率值得肯定,应力求达到Ⅰ级切除,以降低患者复发风险、改善其预后质量。

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	魏孟广
	徐浩祥
	董俊强

Abstract：【Objective】To analyze the efficacy and safety of microsurgery for parasagittal and parafalx meningiomas, and to summarize the clinical experience.【Methods】The clinical data of 95 patients with parasagittal and parafalx meningiomas admitted to our department from April 2010 to April 2018 were analyzed retrospectively. The analysis included baseline data, imaging examination, surgical method, resection effect, follow-up outcome, etc. Based on this, the effect and safety of microsurgery were summarized, and the clinical experience was discussed.【Results】The total resection rate of 95 cases (grade Ⅰ~Ⅲ) was 92.63%. Postoperative intracranial hemorrhage occurred in 2 cases and recovered after craniotomy. There was no recurrence in grade Ⅰ resection, 6 cases (10.71%) in grade Ⅱ resection, 5 cases (83.33%) in grade Ⅲ resection and 6 cases (100.00%) in grade Ⅳ resection.【Conclusion】The total resection rate of parasagittal sinus and parafalx meningiomas should be confirmed. Grade I resection should be achieved to reduce the risk of recurrence and improve the quality of prognosis.

收稿日期: 2019-04-03

PACS:

R739.45

引用本文:

魏孟广, 徐浩祥, 董俊强. 矢状窦旁及大脑镰旁脑膜瘤显微外科治疗分析[J]. 医学临床研究, 2019, 36(7): 1288-1290.
WEI Meng-guang, XU Hao-xiang, DONG Jun-qiang. Microsurgical Treatment of Parasagittal and Parafalx Meningiomas. JOURNAL OF CLINICAL RESEARCH, 2019, 36(7): 1288-1290.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.07.014 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I7/1288