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目的分析窦旁脑膜瘤显微手术治疗效果。方法窦旁脑膜瘤患者28例,用显微手术方法进行治疗,分析患者的影像学资料和手术效果。结果 10例Ⅰ级切除,占35.71%,15例为Ⅱ级切除,占53.58%,1例为Ⅲ级切除,占3.57%,2例为Ⅳ级切除,占7.14%。患者术后均无头痛症状,7例单侧感觉障碍症状好转,8例一过性下肢瘫痪症状缓解,1例精神症状缓。术后1例出现瘤腔出血,对该患者进行对症治疗后恢复正常;8例患者术后出现肢体肌力下降,经对症治疗后均有不同程度的恢复;1例患者术后出现新发癫痫,术前伴发癫痫患者均恢复。患者术后Karnofsky评分为(76.89±5.83)分,术前为(87.24±5.72)分,两组比较,差异有统计学意义(P<0.05);对所有患者进行随访,术后1年内无肿瘤复发患者,术后1年6个月和2年5个月分别有2例复发。结论窦旁脑膜瘤患者用显微手术治疗,可有效提高肿瘤切除成功率,保护颅内组织结构,降低并发症发生率。
Objective To analyze the effect of microsurgical treatment of sinusoid meningioma. Methods 28 patients with sinus meningiomas were treated by microsurgical method and the imaging data and the surgical results were analyzed. Results Of the 10 cases, grade Ⅰ was resected, accounting for 35.71%. Fifteen cases were grade Ⅱ resection, accounting for 53.58%. One case was grade Ⅲ resection, accounting for 3.57%. Two cases were grade Ⅳ resection, accounting for 7.14%. No postoperative headache symptoms, 7 patients with unilateral sensory symptoms improved, 8 cases of transient paralysis lower extremity symptoms, 1 case of mental symptoms. One case had tumor cavity hemorrhage and returned to normal after symptomatic treatment of the patient. Eight cases showed decreased limb muscle strength after operation, and recovered to varying degrees after symptomatic treatment. One case developed new epilepsy Preoperative patients with epilepsy were recovered. The postoperative Karnofsky score was (76.89 ± 5.83) points, preoperatively (87.24 ± 5.72) points, the difference between the two groups was statistically significant (P <0.05); All patients were followed up within 1 year after surgery without tumor Recurrence patients, 2 years after surgery and 6 months and 2 years and 5 months respectively. Conclusion Microsurgical treatment of patients with sinusoid meningioma can effectively improve the success rate of tumor resection, protect the structure of intracranial tissue and reduce the incidence of complications.