摘要
目的提高矢状窦旁脑膜瘤的手术治疗效果.方法回顾性分析67例矢状窦旁脑膜瘤的临床资料.结果SimpsonⅠ级切除24例(35.8%),Ⅱ级切除37例(55.2%),Ⅲ级切除6例(9.0%).死亡2例,存活病人中1例一侧肢体偏瘫,1例双下肢瘫痪.48例随访l～5年,5例复发.结论有效的控制术中出血,采用显微外科技术,保护矢状窦,避免脑皮质、中央沟静脉和其它引流静脉的损伤是提高矢状窦旁脑膜瘤手术全切率和手术疗效的重要因素.
Objective To improve the curative effect of microsurgery on parasagittal meningioma. Methods A retrospective analysis was performed on the clinical data of 67 parasagittal meningiomas. Results Simpson Grade Ⅰ resection was achieved in 24(35.8%), Grade Ⅱ in 37(55.2%) and Grade Ⅲ in 6(9.0%). 2 patients died after operations. In the rest of patients, 1 developed hemiparalysis and 1 paralysis of both lower extremities. 48 patients were followed up for 1 to 5 years, only with 5 recurrences. Conclusion Efficient management of operative bleeding, application of microsurgical techniques, protection of the sagittal sinus, avoidance of damages to cerebral cortex, veins of central sulcus as well as other draining vein are the important factors to improve the rate of surgical resection and overall outcomes in patients with parasagittal meningiomas.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第2期139-141,共3页
Chinese Journal of Neuromedicine
